10D2161266 CLIA NUMBER - SIGNATURE PERINATAL CENTER

Laboratory Demographics

CLIA Number: 10D2161266

Facility Name: SIGNATURE PERINATAL CENTER

Facility Address:
2151 E COMMERCIAL BLVD STE 202
FORT LAUDERDALE, FL
ZIP 33308
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Facility Phone Number: 854 900-6228

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477022663

Taxonomy: 207VM0101X - Obstetrics & Gynecology
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

CLIA Record

Field Name	Field Value
CLIA Number	10D2161266
LAB Type	Physician Office
Facility Name	SIGNATURE PERINATAL CENTER
Street	2151 E COMMERCIAL BLVD STE 202
City	FORT LAUDERDALE
State	FL
ZIP	33308
Phone	854 900-6228
CertificateType	4
CertificateEffectiveDate	1/30/2023
CertificateExpirationDate	1/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024