10D2213756 CLIA NUMBER - ICARE MOBILE MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 10D2213756
  • Facility Name: ICARE MOBILE MEDICINE LLC
  • Facility Address: 2525 EMBASSY DR #5
    COOPER CITY, FL
    ZIP 33026
  • Facility Phone: 305 701-9901
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICHOLAS SUITE
  • NPI Number: 1861784563
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2213756
LAB Type Physician Office
Facility Name ICARE MOBILE MEDICINE LLC
Street 2525 EMBASSY DR #5
City COOPER CITY
State FL
ZIP 33026
Phone 305 701-9901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Physician Office
Lab Director NICHOLAS SUITE

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