10D2076249 CLIA NUMBER - CLEOPATRA GORDON PUSEY MD PA

Laboratory Demographics

  • CLIA Code: 10D2076249
  • Facility Name: CLEOPATRA GORDON PUSEY MD PA
  • Facility Address: 222 S FLAMINGO RD
    PEMBROKE PINES, FL
    ZIP 33027
  • Facility Phone: 954 442-0029
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLEOPATRA T. GORDON PUSEY
  • NPI Number: 1740502228
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2076249
LAB Type Physician Office
Facility Name CLEOPATRA GORDON PUSEY MD PA
Street 222 S FLAMINGO RD
City PEMBROKE PINES
State FL
ZIP 33027
Phone 954 442-0029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Physician Office
Lab Director CLEOPATRA T. GORDON PUSEY

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