10D2290414 CLIA NUMBER - MIRIAM Y ROSS, FNP-BC PA

Laboratory Demographics

  • CLIA Code: 10D2290414
  • Facility Name: MIRIAM Y ROSS, FNP-BC PA
  • Facility Address: 4930 SARAZEN DR
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 516 578-0254
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MIRIAM Y. ROSS
  • NPI Number: 1558876466
  • Taxonomy: 2355S0801X - Specialist/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 10D2290414
LAB Type Mobile Laboratory
Facility Name MIRIAM Y ROSS, FNP-BC PA
Street 4930 SARAZEN DR
City HOLLYWOOD
State FL
ZIP 33021
Phone 516 578-0254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Mobile Laboratory
Lab Director MIRIAM Y. ROSS

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