10D2119628 CLIA NUMBER - AMCA MEDICAL SERVICES INC DBA AMCA MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 10D2119628
  • Facility Name: AMCA MEDICAL SERVICES INC DBA AMCA MEDICAL CENTER
  • Facility Address: 1610 SHERIDAN ST
    HOLLYWOOD, FL
    ZIP 33020
  • Facility Phone: 954 922-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SELLY WOLKOV
  • NPI Number: 1497068472
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2119628
LAB Type Physician Office
Facility Name AMCA MEDICAL SERVICES INC DBA AMCA MEDICAL CENTER
Street 1610 SHERIDAN ST
City HOLLYWOOD
State FL
ZIP 33020
Phone 954 922-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Physician Office
Lab Director SELLY WOLKOV

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