10D0867709 CLIA NUMBER - OTTO L SECADA MD PA

Laboratory Demographics

  • CLIA Code: 10D0867709
  • Facility Name: OTTO L SECADA MD PA
  • Facility Address: 7150 W 20TH AVE STE 209
    HIALEAH, FL
    ZIP 33016
  • Facility Phone: 305 828-5677
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OTTO L. SECADA
  • NPI Number: 1942297205
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0867709
LAB Type Physician Office
Facility Name OTTO L SECADA MD PA
Street 7150 W 20TH AVE STE 209
City HIALEAH
State FL
ZIP 33016
Phone 305 828-5677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director OTTO L. SECADA

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