10D2322336 CLIA NUMBER - PLANTATION ASC LLC

Laboratory Demographics

  • CLIA Code: 10D2322336
  • Facility Name: PLANTATION ASC LLC
  • Facility Address: 6710 W SUNRISE BLVD STE 111
    PLANTATION, FL
    ZIP 33313
  • Facility Phone: 786 312-7202
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CARL EIERLE
  • NPI Number: 1508271248
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2322336
LAB Type Ambulatory Surgery Center
Facility Name PLANTATION ASC LLC
Street 6710 W SUNRISE BLVD STE 111
City PLANTATION
State FL
ZIP 33313
Phone 786 312-7202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Ambulatory Surgery Center
Lab Director CARL EIERLE

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