10D2146447 CLIA NUMBER - MARLENE T CORDOVA DO, PA

Laboratory Demographics

  • CLIA Code: 10D2146447
  • Facility Name: MARLENE T CORDOVA DO, PA
  • Facility Address: 600 N HIATUS ROAD STE 201
    PEMBROKE PINES, FL
    ZIP 33026
  • Facility Phone: 954 526-6378
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARLENE T. CORDOVA
  • NPI Number: 1407856685
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2146447
LAB Type Physician Office
Facility Name MARLENE T CORDOVA DO, PA
Street 600 N HIATUS ROAD STE 201
City PEMBROKE PINES
State FL
ZIP 33026
Phone 954 526-6378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director MARLENE T. CORDOVA

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