10D2145095 CLIA NUMBER - BROWARD ENT & AESTHETICS

Laboratory Demographics

  • CLIA Code: 10D2145095
  • Facility Name: BROWARD ENT & AESTHETICS
  • Facility Address: 2307 W BROWARD BLVD STE 201
    FORT LAUDERDALE, FL
    ZIP 33311
  • Facility Phone: 954 368-3348
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILSON DUMORNAY
  • NPI Number: 1760646046
  • Taxonomy: 207YS0123X - Otolaryngology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2145095
LAB Type Physician Office
Facility Name BROWARD ENT & AESTHETICS
Street 2307 W BROWARD BLVD STE 201
City FORT LAUDERDALE
State FL
ZIP 33311
Phone 954 368-3348
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director WILSON DUMORNAY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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