10D2280180 CLIA NUMBER - RONOEL PENALVER, MDPA, LLC

Laboratory Demographics

  • CLIA Code: 10D2280180
  • Facility Name: RONOEL PENALVER, MDPA, LLC
  • Facility Address: 1490 S PALM AVE
    PEMBROKE PINES, FL
    ZIP 33025
  • Facility Phone: 954 852-5485
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONOEL PENALVER
  • NPI Number: 1750039863
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2280180
LAB Type Physician Office
Facility Name RONOEL PENALVER, MDPA, LLC
Street 1490 S PALM AVE
City PEMBROKE PINES
State FL
ZIP 33025
Phone 954 852-5485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director RONOEL PENALVER

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