10D0899767 CLIA NUMBER - ISRAEL D ALVAREZ MD

Laboratory Demographics

CLIA Number: 10D0899767

Facility Name: ISRAEL D ALVAREZ MD

Facility Address:
18300 NW 62ND AVE STE 230
MIAMI, FL
ZIP 33015
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Facility Phone Number: 305 623-5766

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811364672

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D0899767
LAB Type	Physician Office
Facility Name	ISRAEL D ALVAREZ MD
Street	18300 NW 62ND AVE STE 230
City	MIAMI
State	FL
ZIP	33015
Phone	305 623-5766
CertificateType	4
CertificateEffectiveDate	7/15/2022
CertificateExpirationDate	7/14/2024
FacilityType	Waiver

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