10D2241349 CLIA NUMBER - NSI BROWARD LLC

Laboratory Demographics

  • CLIA Code: 10D2241349
  • Facility Name: NSI BROWARD LLC
  • Facility Address: 2853 EXECUTIVE PARK DR SUITE 102
    WESTON, FL
    ZIP 33331
  • Facility Phone: 954 659-1208
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KYLE PETERSEN
  • NPI Number: 1295203784
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2241349
LAB Type Physician Office
Facility Name NSI BROWARD LLC
Street 2853 EXECUTIVE PARK DR SUITE 102
City WESTON
State FL
ZIP 33331
Phone 954 659-1208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director KYLE PETERSEN

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