10D2240589 CLIA NUMBER - ATISSO MEDICAL CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D2240589
  • Facility Name: ATISSO MEDICAL CENTER, LLC
  • Facility Address: 2331 NORTH STATE ROAD 7, SUITE-220
    LAUDERHILL, FL
    ZIP 33313
  • Facility Phone: 754 444-2107
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FRANTZ SAINVIL
  • NPI Number: 1730852708
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2240589
LAB Type Physician Office
Facility Name ATISSO MEDICAL CENTER, LLC
Street 2331 NORTH STATE ROAD 7, SUITE-220
City LAUDERHILL
State FL
ZIP 33313
Phone 754 444-2107
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Physician Office
Lab Director FRANTZ SAINVIL

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