10D2293123 CLIA NUMBER - DHG PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 10D2293123
  • Facility Name: DHG PEDIATRICS LLC
  • Facility Address: 3850 COCONUT CREEK PKWY SUITE 1
    COCONUT CREEK, FL
    ZIP 33066
  • Facility Phone: (954) 746-7114
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SURJIT A. JOHAL
  • NPI Number: 1023719218
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2293123
LAB Type Physician Office
Facility Name DHG PEDIATRICS LLC
Street 3850 COCONUT CREEK PKWY SUITE 1
City COCONUT CREEK
State FL
ZIP 33066
Phone 9547467114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2025
Certificate Expiration Date 11/2/2027
Facility Type Physician Office
Lab Director SURJIT A. JOHAL

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This page was last updated on: 5/18/2026