10D2097093 CLIA NUMBER - VICTOR H CANTERO MD LLC

Laboratory Demographics

  • CLIA Code: 10D2097093
  • Facility Name: VICTOR H CANTERO MD LLC
  • Facility Address: 1951 SW 172ND AVE STE 301
    MIRAMAR, FL
    ZIP 33029
  • Facility Phone: 954 510-5454
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTOR H. CANTERO
  • NPI Number: 1972772994
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D2097093
LAB Type Physician Office
Facility Name VICTOR H CANTERO MD LLC
Street 1951 SW 172ND AVE STE 301
City MIRAMAR
State FL
ZIP 33029
Phone 954 510-5454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2023
Certificate Expiration Date 6/8/2025
Facility Type Physician Office
Lab Director VICTOR H. CANTERO

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