10D0645312 CLIA NUMBER - GASTROINTESTINAL CENTER OF HIALEAH, THE

Laboratory Demographics

CLIA Number: 10D0645312

Facility Name: GASTROINTESTINAL CENTER OF HIALEAH, THE

Facility Address:
135 WEST 49 ST
HIALEAH, FL
ZIP 33012
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Facility Phone Number: 305 825-1487

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1578525853

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0645312
LAB Type	Ambulatory Surgery Center
Facility Name	GASTROINTESTINAL CENTER OF HIALEAH, THE
Street	135 WEST 49 ST
City	HIALEAH
State	FL
ZIP	33012
Phone	305 825-1487
CertificateType	4
CertificateEffectiveDate	6/23/2023
CertificateExpirationDate	6/22/2025
FacilityType	Waiver

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