10D2093138 CLIA NUMBER - MEMORIAL DIVISION OF PEDIATRIC SPECIALTY

Laboratory Demographics

  • CLIA Code: 10D2093138
  • Facility Name: MEMORIAL DIVISION OF PEDIATRIC SPECIALTY
  • Facility Address: 1131 N 35TH AVE STE 210
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 954 265-3661
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBIN NEMERY
  • NPI Number: 1477670099
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D2093138
LAB Type Physician Office
Facility Name MEMORIAL DIVISION OF PEDIATRIC SPECIALTY
Street 1131 N 35TH AVE STE 210
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 265-3661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Physician Office
Lab Director ROBIN NEMERY

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