10D2320675 CLIA NUMBER - COASTAL RHEUMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 10D2320675
  • Facility Name: COASTAL RHEUMATOLOGY LLC
  • Facility Address: 9050 PINES BOULEVARD SUITE 110
    PEMBROKE PINES, FL
    ZIP 33025
  • Facility Phone: 954 361-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN R. GOTTLEIB
  • NPI Number: 1073384228
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2320675
LAB Type Physician Office
Facility Name COASTAL RHEUMATOLOGY LLC
Street 9050 PINES BOULEVARD SUITE 110
City PEMBROKE PINES
State FL
ZIP 33025
Phone 954 361-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director JONATHAN R. GOTTLEIB

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