10D2213418 CLIA NUMBER - KEISER UNIVERSITY

Laboratory Demographics

  • CLIA Code: 10D2213418
  • Facility Name: KEISER UNIVERSITY
  • Facility Address: 1900 W COMMERCIAL BLVD OFFICE OF THE CHANCELOR ATTENTION TERRY REID-PAUL VCAA
    FORT LAUDERDALE, FL
    ZIP 33309
  • Facility Phone: 954 776-4476
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MANUEL PORTH
  • NPI Number: 1487110995
  • Taxonomy: 111NI0013X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2213418
LAB Type School/Student Health Service
Facility Name KEISER UNIVERSITY
Street 1900 W COMMERCIAL BLVD OFFICE OF THE CHANCELOR ATTENTION TERRY REID-PAUL VCAA
City FORT LAUDERDALE
State FL
ZIP 33309
Phone 954 776-4476
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type School/Student Health Service
Lab Director MANUEL PORTH

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