10D2090711 CLIA NUMBER - SOUTH FLORIDA PEDIATRIC UROLOGY LLP

Laboratory Demographics

  • CLIA Code: 10D2090711
  • Facility Name: SOUTH FLORIDA PEDIATRIC UROLOGY LLP
  • Facility Address: 10151 ENTERPRISE CENTER BLVD SUITE 101
    BOYNTON BEACH, FL
    ZIP 33437
  • Facility Phone: 561 736-7313
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDRONIKI KANAROGLOU
  • NPI Number: 1598739831
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2090711
LAB Type Physician Office
Facility Name SOUTH FLORIDA PEDIATRIC UROLOGY LLP
Street 10151 ENTERPRISE CENTER BLVD SUITE 101
City BOYNTON BEACH
State FL
ZIP 33437
Phone 561 736-7313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director ANDRONIKI KANAROGLOU

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