10D2270093 CLIA NUMBER - COMMUNITY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 10D2270093
  • Facility Name: COMMUNITY MEDICAL GROUP
  • Facility Address: 10060 NW 7TH STREET #10
    PEMBROKE PINES, FL
    ZIP 33024
  • Facility Phone: 954 606-0110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA T. POL-CARBALLO
  • NPI Number: 1235876004
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2270093
LAB Type Physician Office
Facility Name COMMUNITY MEDICAL GROUP
Street 10060 NW 7TH STREET #10
City PEMBROKE PINES
State FL
ZIP 33024
Phone 954 606-0110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director MARIA T. POL-CARBALLO

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: 3/20/2025