10D2106749 CLIA NUMBER - GILBERT MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 10D2106749
  • Facility Name: GILBERT MEDICAL GROUP
  • Facility Address: 3868 SHERIDAN STREET STE A
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 954 962-2309
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARLON D. GILBERT
  • NPI Number: 1841558202
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2106749
LAB Type Physician Office
Facility Name GILBERT MEDICAL GROUP
Street 3868 SHERIDAN STREET STE A
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 962-2309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Physician Office
Lab Director MARLON D. GILBERT

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