10D2209189 CLIA NUMBER - LATINO MEDICAL CENTER III, INC

Laboratory Demographics

  • CLIA Code: 10D2209189
  • Facility Name: LATINO MEDICAL CENTER III, INC
  • Facility Address: 3670 WEST OAKLAND PARK BLVD
    LAUDERDALE LAKES, FL
    ZIP 33311
  • Facility Phone: 954 716-6101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARNALDO VILLAFRANCA
  • NPI Number: 1477047058
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2209189
LAB Type Physician Office
Facility Name LATINO MEDICAL CENTER III, INC
Street 3670 WEST OAKLAND PARK BLVD
City LAUDERDALE LAKES
State FL
ZIP 33311
Phone 954 716-6101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director ARNALDO VILLAFRANCA

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This page was last updated on: 6/4/2025