10D0281206 CLIA NUMBER - FLORIDA PRITIKIN CENTER LLC

Laboratory Demographics

CLIA Number: 10D0281206

Facility Name: FLORIDA PRITIKIN CENTER LLC

Facility Address:
8755 NW 36TH ST
MIAMI, FL
ZIP 33178
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Facility Phone Number: 305 935-7141

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144451915

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0281206
LAB Type	Physician Office
Facility Name	FLORIDA PRITIKIN CENTER LLC
Street	8755 NW 36TH ST
City	MIAMI
State	FL
ZIP	33178
Phone	305 935-7141
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024