10D0877278 CLIA NUMBER - JORGE M BARCENAS MD PA

Laboratory Demographics

  • CLIA Code: 10D0877278
  • Facility Name: JORGE M BARCENAS MD PA
  • Facility Address: 14687 SW 104 ST
    MIAMI, FL
    ZIP 33186
  • Facility Phone: 305 383-3372
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE M. BARCENAS
  • NPI Number: 1790797074
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0877278
LAB Type Physician Office
Facility Name JORGE M BARCENAS MD PA
Street 14687 SW 104 ST
City MIAMI
State FL
ZIP 33186
Phone 305 383-3372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director JORGE M. BARCENAS

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