10D2326879 CLIA NUMBER - EVLYN EICKHOFF MD PLLC

Laboratory Demographics

  • CLIA Code: 10D2326879
  • Facility Name: EVLYN EICKHOFF MD PLLC
  • Facility Address: 12515 ORANGE DRIVE, SUITE 804
    DAVIE, FL
    ZIP 33330
  • Facility Phone: 505 392-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EVLYN EICKHOFF
  • NPI Number: 1649164864
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2326879
LAB Type Physician Office
Facility Name EVLYN EICKHOFF MD PLLC
Street 12515 ORANGE DRIVE, SUITE 804
City DAVIE
State FL
ZIP 33330
Phone 505 392-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Physician Office
Lab Director EVLYN EICKHOFF

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