10D2222656 CLIA NUMBER - MODERN OBGYN CARE, PLLC

Laboratory Demographics

  • CLIA Code: 10D2222656
  • Facility Name: MODERN OBGYN CARE, PLLC
  • Facility Address: 10011 PINES BOULEVARD SUITE 203
    PEMBROKE PINES, FL
    ZIP 33024
  • Facility Phone: 754 217-4181
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARCELA J. TORRES
  • NPI Number: 1669063343
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D2222656
LAB Type Physician Office
Facility Name MODERN OBGYN CARE, PLLC
Street 10011 PINES BOULEVARD SUITE 203
City PEMBROKE PINES
State FL
ZIP 33024
Phone 754 217-4181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director MARCELA J. TORRES

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