10D2218622 CLIA NUMBER - CENTRUM MEDICAL CENTERS OF HALLANDALE, LLC

Laboratory Demographics

  • CLIA Code: 10D2218622
  • Facility Name: CENTRUM MEDICAL CENTERS OF HALLANDALE, LLC
  • Facility Address: 1460 E HALLANDALE BEACH BLVD
    HALLANDALE BEACH, FL
    ZIP 33009
  • Facility Phone: 305 266-2929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANUEL M. LAM
  • NPI Number: 1942976360
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2218622
LAB Type Physician Office
Facility Name CENTRUM MEDICAL CENTERS OF HALLANDALE, LLC
Street 1460 E HALLANDALE BEACH BLVD
City HALLANDALE BEACH
State FL
ZIP 33009
Phone 305 266-2929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Physician Office
Lab Director MANUEL M. LAM

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