10D2150208 CLIA NUMBER - SIMON WEISS, MD, LLC

Laboratory Demographics

  • CLIA Code: 10D2150208
  • Facility Name: SIMON WEISS, MD, LLC
  • Facility Address: 5740 HOLLYWOOD BLVD STE 200
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 954 518-4100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SIMON WEISS
  • NPI Number: 1588620546
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2150208
LAB Type Physician Office
Facility Name SIMON WEISS, MD, LLC
Street 5740 HOLLYWOOD BLVD STE 200
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 518-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director SIMON WEISS

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