10D2236414 CLIA NUMBER - PEMBROKE PERINATAL CENTER, LLC

Laboratory Demographics

CLIA Number: 10D2236414

Facility Name: PEMBROKE PERINATAL CENTER, LLC

Facility Address:
15681 PINES BOULEVARD
PEMBROKE PINES, FL
ZIP 33027
Get Directions

Facility Phone Number: 954 416-2396

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659936656

Taxonomy: 261QD0000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2236414
LAB Type	Physician Office
Facility Name	PEMBROKE PERINATAL CENTER, LLC
Street	15681 PINES BOULEVARD
City	PEMBROKE PINES
State	FL
ZIP	33027
Phone	954 416-2396
CertificateType	4
CertificateEffectiveDate	9/16/2023
CertificateExpirationDate	9/15/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024