10D2251316 CLIA NUMBER - ANGEL WINGS DIAGNOSTIC LABS LLC

Laboratory Demographics

  • CLIA Code: 10D2251316
  • Facility Name: ANGEL WINGS DIAGNOSTIC LABS LLC
  • Facility Address: 4330 W BROWARD BLVD SUITE O
    PLANTATION, FL
    ZIP 33317
  • Facility Phone: 786 521-4206
  • Facility Type: Other - TESTING CENTER
  • Facility Type: Waiver
  • Lab Director: LAQUINTA HYPPOLITE
  • NPI Number: 1346902616
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2251316
LAB Type Other - TESTING CENTER
Facility Name ANGEL WINGS DIAGNOSTIC LABS LLC
Street 4330 W BROWARD BLVD SUITE O
City PLANTATION
State FL
ZIP 33317
Phone 786 521-4206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Other - TESTING CENTER
Lab Director LAQUINTA HYPPOLITE

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