10D2233286 CLIA NUMBER - PRESTIGE CLINICIANS LLC

Laboratory Demographics

  • CLIA Code: 10D2233286
  • Facility Name: PRESTIGE CLINICIANS LLC
  • Facility Address: 4513 NW 31ST AVE
    OAKLAND PARK, FL
    ZIP 33309
  • Facility Phone: 954 496-2599
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HENRY ODAZIE
  • NPI Number: 1497213755
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2233286
LAB Type Physician Office
Facility Name PRESTIGE CLINICIANS LLC
Street 4513 NW 31ST AVE
City OAKLAND PARK
State FL
ZIP 33309
Phone 954 496-2599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director HENRY ODAZIE

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