10D2147662 CLIA NUMBER - SOUTH FLORIDA DOCTORS GROUP, PLLC

Laboratory Demographics

  • CLIA Code: 10D2147662
  • Facility Name: SOUTH FLORIDA DOCTORS GROUP, PLLC
  • Facility Address: 18503 PINES BLVD STE 306
    PEMBROKE PINES, FL
    ZIP 33029
  • Facility Phone: 954 885-6565
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARLENNY FELIZ
  • NPI Number: 1053077305
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2147662
LAB Type Physician Office
Facility Name SOUTH FLORIDA DOCTORS GROUP, PLLC
Street 18503 PINES BLVD STE 306
City PEMBROKE PINES
State FL
ZIP 33029
Phone 954 885-6565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director DR. MARLENNY FELIZ

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