10D2102167 CLIA NUMBER - PRIMARY DIAGNOSTICS LABORATORY PLLC

Laboratory Demographics

  • CLIA Code: 10D2102167
  • Facility Name: PRIMARY DIAGNOSTICS LABORATORY PLLC
  • Facility Address: 115 S 17TH AVE
    HOLLYWOOD, FL
    ZIP 33020
  • Facility Phone: 954 505-7301
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. JENNIFER SPIEGEL
  • NPI Number: 1942641923
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2102167
LAB Type Independent
Facility Name PRIMARY DIAGNOSTICS LABORATORY PLLC
Street 115 S 17TH AVE
City HOLLYWOOD
State FL
ZIP 33020
Phone 954 505-7301
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Independent
Lab Director DR. JENNIFER SPIEGEL

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