10D2303155 CLIA NUMBER - LOYAL MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 10D2303155
  • Facility Name: LOYAL MEDICAL GROUP, INC
  • Facility Address: 8391 W OAKLAND PARK BLVD
    SUNRISE, FL
    ZIP 33351
  • Facility Phone: 954 335-6925
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TODD R. JACOBS
  • NPI Number: 1922787688
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2303155
LAB Type Physician Office
Facility Name LOYAL MEDICAL GROUP, INC
Street 8391 W OAKLAND PARK BLVD
City SUNRISE
State FL
ZIP 33351
Phone 954 335-6925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Physician Office
Lab Director TODD R. JACOBS

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