10D2063191 CLIA NUMBER - GRISEL MAC WILLIAMS MD PA

Laboratory Demographics

  • CLIA Code: 10D2063191
  • Facility Name: GRISEL MAC WILLIAMS MD PA
  • Facility Address: 18044 NW 6TH ST STE 102
    PEMBROKE PINES, FL
    ZIP 33029
  • Facility Phone: 954 885-9904
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GRISEL M. WILLAMS
  • NPI Number: 1083910202
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2063191
LAB Type Physician Office
Facility Name GRISEL MAC WILLIAMS MD PA
Street 18044 NW 6TH ST STE 102
City PEMBROKE PINES
State FL
ZIP 33029
Phone 954 885-9904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2023
Certificate Expiration Date 7/28/2025
Facility Type Physician Office
Lab Director GRISEL M. WILLAMS

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This page was last updated on: 6/4/2025