10D2056615 CLIA NUMBER - TIFFANY SIZEMORE, DO, PA

Laboratory Demographics

  • CLIA Code: 10D2056615
  • Facility Name: TIFFANY SIZEMORE, DO, PA
  • Facility Address: 1409 SE 1ST AVE
    FORT LAUDERDALE, FL
    ZIP 33316
  • Facility Phone: 954 523-4141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIFFANY B. SIZEMORE
  • NPI Number: 1184998833
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2056615
LAB Type Physician Office
Facility Name TIFFANY SIZEMORE, DO, PA
Street 1409 SE 1ST AVE
City FORT LAUDERDALE
State FL
ZIP 33316
Phone 954 523-4141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director TIFFANY B. SIZEMORE

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