10D2047855 CLIA NUMBER - CARLOS SPERA MD PA

Laboratory Demographics

  • CLIA Code: 10D2047855
  • Facility Name: CARLOS SPERA MD PA
  • Facility Address: 12575 ORANGE DR STE 303
    DAVIE, FL
    ZIP 33330
  • Facility Phone: 954 577-8585
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CARLOS E. SPERA
  • NPI Number: 1033270251
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2047855
LAB Type Ambulatory Surgery Center
Facility Name CARLOS SPERA MD PA
Street 12575 ORANGE DR STE 303
City DAVIE
State FL
ZIP 33330
Phone 954 577-8585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Ambulatory Surgery Center
Lab Director CARLOS E. SPERA

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This page was last updated on: 9/29/2025