10D2263628 CLIA NUMBER - BLUE ANGEL DIAGNOSTIC LAB

Laboratory Demographics

  • CLIA Code: 10D2263628
  • Facility Name: BLUE ANGEL DIAGNOSTIC LAB
  • Facility Address: 2300 W SAMPLE RD, STE 212
    POMPANO BEACH, FL
    ZIP 33073
  • Facility Phone: 954 778-4344
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DANNA EDMOND-VOLMAR
  • NPI Number: 1477325108
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2263628
LAB Type Practitioner Other
Facility Name BLUE ANGEL DIAGNOSTIC LAB
Street 2300 W SAMPLE RD, STE 212
City POMPANO BEACH
State FL
ZIP 33073
Phone 954 778-4344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Practitioner Other
Lab Director DANNA EDMOND-VOLMAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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