10D2134489 CLIA NUMBER - INTERNAL MEDICINE ASSOCIATES OF FLORIDA, INC

Laboratory Demographics

  • CLIA Code: 10D2134489
  • Facility Name: INTERNAL MEDICINE ASSOCIATES OF FLORIDA, INC
  • Facility Address: 601 N FLAMINGO RD STE 309
    PEMBROKE PINES, FL
    ZIP 33028
  • Facility Phone: 954 450-2977
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ALVIN L. GUTIERREZ
  • NPI Number: 1558463810
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2134489
LAB Type Practitioner Other
Facility Name INTERNAL MEDICINE ASSOCIATES OF FLORIDA, INC
Street 601 N FLAMINGO RD STE 309
City PEMBROKE PINES
State FL
ZIP 33028
Phone 954 450-2977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2023
Certificate Expiration Date 8/2/2025
Facility Type Practitioner Other
Lab Director ALVIN L. GUTIERREZ

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This page was last updated on: 3/20/2025