10D2308958 CLIA NUMBER - CENTER FOR GYNECOLOGIC ONCOLOGY LLC, THE

Laboratory Demographics

  • CLIA Code: 10D2308958
  • Facility Name: CENTER FOR GYNECOLOGIC ONCOLOGY LLC, THE
  • Facility Address: 2000 NW 87TH AVENUE SUITE 205
    DORAL, FL
    ZIP 33172
  • Facility Phone: 954 602-9723
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMERY SALOM
  • NPI Number: 1043245681
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2308958
LAB Type Physician Office
Facility Name CENTER FOR GYNECOLOGIC ONCOLOGY LLC, THE
Street 2000 NW 87TH AVENUE SUITE 205
City DORAL
State FL
ZIP 33172
Phone 954 602-9723
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Physician Office
Lab Director EMERY SALOM

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