10D2128538 CLIA NUMBER - PERSONAL PHYSICIAN MANAGEMENT GROUP OF HALLANDALE INC

Laboratory Demographics

  • CLIA Code: 10D2128538
  • Facility Name: PERSONAL PHYSICIAN MANAGEMENT GROUP OF HALLANDALE INC
  • Facility Address: 2100 HALLANDALE BEACH BLVD STE 307
    HALLANDALE BEACH, FL
    ZIP 33009
  • Facility Phone: 954 454-9055
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID NEUMAN
  • NPI Number: 1043751068
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2128538
LAB Type Physician Office
Facility Name PERSONAL PHYSICIAN MANAGEMENT GROUP OF HALLANDALE INC
Street 2100 HALLANDALE BEACH BLVD STE 307
City HALLANDALE BEACH
State FL
ZIP 33009
Phone 954 454-9055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2023
Certificate Expiration Date 7/11/2025
Facility Type Physician Office
Lab Director DAVID NEUMAN

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