10D2211585 CLIA NUMBER - CAMILO RUIZ DO PA

Laboratory Demographics

  • CLIA Code: 10D2211585
  • Facility Name: CAMILO RUIZ DO PA
  • Facility Address: 1319 SE 2ND AVENUE
    FORT LAUDERDALE, FL
    ZIP 33316
  • Facility Phone: 954 839-6987
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAMILO A. RUIZ
  • NPI Number: 1063664696
  • Taxonomy: 207RS0012X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2211585
LAB Type Physician Office
Facility Name CAMILO RUIZ DO PA
Street 1319 SE 2ND AVENUE
City FORT LAUDERDALE
State FL
ZIP 33316
Phone 954 839-6987
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director CAMILO A. RUIZ

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