10D2252514 CLIA NUMBER - RGPMD LLC

Laboratory Demographics

  • CLIA Code: 10D2252514
  • Facility Name: RGPMD LLC
  • Facility Address: 2250 NW 136 AVE, SUITE 100
    PEMBROKE PINES, FL
    ZIP 33028
  • Facility Phone: 954 302-7960
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT G. PERRY
  • NPI Number: 1538594320
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2252514
LAB Type Physician Office
Facility Name RGPMD LLC
Street 2250 NW 136 AVE, SUITE 100
City PEMBROKE PINES
State FL
ZIP 33028
Phone 954 302-7960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Physician Office
Lab Director ROBERT G. PERRY

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