10D2196372 CLIA NUMBER - EMMANUEL PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 10D2196372
  • Facility Name: EMMANUEL PEDIATRICS LLC
  • Facility Address: 1721 N STATE RD 7
    MARGATE, FL
    ZIP 33063
  • Facility Phone: 954 464-3227
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLYN EMMANUEL
  • NPI Number: 1306572854
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2196372
LAB Type Physician Office
Facility Name EMMANUEL PEDIATRICS LLC
Street 1721 N STATE RD 7
City MARGATE
State FL
ZIP 33063
Phone 954 464-3227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director CHARLYN EMMANUEL

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