10D2297867 CLIA NUMBER - O2 PURE LLC

Laboratory Demographics

  • CLIA Code: 10D2297867
  • Facility Name: O2 PURE LLC
  • Facility Address: 2429 HOLLYWOOD BLVD
    HOLLYWOOD, FL
    ZIP 33020
  • Facility Phone: 954 404-7626
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAFA A. MAKLAD
  • NPI Number: 1366219594
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2297867
LAB Type Physician Office
Facility Name O2 PURE LLC
Street 2429 HOLLYWOOD BLVD
City HOLLYWOOD
State FL
ZIP 33020
Phone 954 404-7626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director SAFA A. MAKLAD

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This page was last updated on: 6/4/2025