10D2315338 CLIA NUMBER - J & C NETWORK RESOURCE CENTER INC

Laboratory Demographics

  • CLIA Code: 10D2315338
  • Facility Name: J & C NETWORK RESOURCE CENTER INC
  • Facility Address: 1101 SOUTH 21ST AVE
    HOLLYWOOD, FL
    ZIP 33020
  • Facility Phone: 786 298-7379
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DAVID CORADIN
  • NPI Number: 1962790535
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2315338
LAB Type Community Clinic
Facility Name J & C NETWORK RESOURCE CENTER INC
Street 1101 SOUTH 21ST AVE
City HOLLYWOOD
State FL
ZIP 33020
Phone 786 298-7379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Community Clinic
Lab Director DAVID CORADIN

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