10D2302995 CLIA NUMBER - PRIMARY MEDICAL PHYSICIANS, LLC

Laboratory Demographics

  • CLIA Code: 10D2302995
  • Facility Name: PRIMARY MEDICAL PHYSICIANS, LLC
  • Facility Address: 4486 N UNIVERSITY DRIVE
    LAUDERHILL, FL
    ZIP 33351
  • Facility Phone: 954 399-9014
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOISES ISSA
  • NPI Number: 1225622095
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2302995
LAB Type Physician Office
Facility Name PRIMARY MEDICAL PHYSICIANS, LLC
Street 4486 N UNIVERSITY DRIVE
City LAUDERHILL
State FL
ZIP 33351
Phone 954 399-9014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Physician Office
Lab Director MOISES ISSA

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