10D2236414 CLIA NUMBER - PEMBROKE PERINATAL CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D2236414
  • Facility Name: PEMBROKE PERINATAL CENTER, LLC
  • Facility Address: 15681 PINES BOULEVARD
    PEMBROKE PINES, FL
    ZIP 33027
  • Facility Phone: 954 416-2396
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LETTY M. ROMARY
  • NPI Number: 1659936656
  • Taxonomy: 261QD0000X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director LETTY M. ROMARY

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