10D2134120 CLIA NUMBER - SOUTH FL FAMILY HEALTH & RESEARCH CENTER PLANTATION & LICE SOURCE SERVICES PLANTATION

Laboratory Demographics

  • CLIA Code: 10D2134120
  • Facility Name: SOUTH FL FAMILY HEALTH & RESEARCH CENTER PLANTATION & LICE SOURCE SERVICES PLANTATION
  • Facility Address: 6971 W SUNRISE BLVD STE 102
    PLANTATION, FL
    ZIP 33313
  • Facility Phone: 954 791-0711
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANCY PYRAM-BERNARD
  • NPI Number: 1558597005
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2134120
LAB Type Physician Office
Facility Name SOUTH FL FAMILY HEALTH & RESEARCH CENTER PLANTATION & LICE SOURCE SERVICES PLANTATION
Street 6971 W SUNRISE BLVD STE 102
City PLANTATION
State FL
ZIP 33313
Phone 954 791-0711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Physician Office
Lab Director NANCY PYRAM-BERNARD

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