10D2151311 CLIA NUMBER - SPEARHEAD MEDICAL INC

Laboratory Demographics

  • CLIA Code: 10D2151311
  • Facility Name: SPEARHEAD MEDICAL INC
  • Facility Address: 5812 HOLLYWOOD BLVD
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 854 981-9111
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: KYLE PETERSEN
  • NPI Number: 1124528161
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2151311
LAB Type Other - URGENT CARE
Facility Name SPEARHEAD MEDICAL INC
Street 5812 HOLLYWOOD BLVD
City HOLLYWOOD
State FL
ZIP 33021
Phone 854 981-9111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Other - URGENT CARE
Lab Director KYLE PETERSEN

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