10D0709644 CLIA NUMBER - RODOLFO A PEREZ MD

Laboratory Demographics

CLIA Number: 10D0709644

Facility Name: RODOLFO A PEREZ MD

Facility Address:
7150 WEST 20TH AVE STE 304
HIALEAH, FL
ZIP 33016
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Facility Phone Number: 305 512-4411

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154359479

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D0709644
LAB Type	Physician Office
Facility Name	RODOLFO A PEREZ MD
Street	7150 WEST 20TH AVE STE 304
City	HIALEAH
State	FL
ZIP	33016
Phone	305 512-4411
CertificateType	4
CertificateEffectiveDate	4/5/2023
CertificateExpirationDate	4/4/2025
FacilityType	Waiver

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