10D2265480 CLIA NUMBER - T P H T INC

Laboratory Demographics

  • CLIA Code: 10D2265480
  • Facility Name: T P H T INC
  • Facility Address: 3157 N UNIVERSITY DR, STE 103
    DAVIE, FL
    ZIP 33024
  • Facility Phone: 954 625-0587
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLOS A. PARDO
  • NPI Number: 1679217301
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2265480
LAB Type Physician Office
Facility Name T P H T INC
Street 3157 N UNIVERSITY DR, STE 103
City DAVIE
State FL
ZIP 33024
Phone 954 625-0587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director CARLOS A. PARDO

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