10D2056081 CLIA NUMBER - JEROME R OBED DO PA

Laboratory Demographics

  • CLIA Code: 10D2056081
  • Facility Name: JEROME R OBED DO PA
  • Facility Address: 500 SE 15TH ST STE 108
    FORT LAUDERDALE, FL
    ZIP 33316
  • Facility Phone: 954 990-6591
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JEROME R. OBED
  • NPI Number: 1720055585
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2056081
LAB Type Physician Office
Facility Name JEROME R OBED DO PA
Street 500 SE 15TH ST STE 108
City FORT LAUDERDALE
State FL
ZIP 33316
Phone 954 990-6591
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Physician Office
Lab Director DR. JEROME R. OBED

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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