10D0905023 CLIA NUMBER - CHILDRENS SKIN CENTER PA

Laboratory Demographics

CLIA Number: 10D0905023

Facility Name: CHILDRENS SKIN CENTER PA

Facility Address:
3100 SW 62 AVE
MIAMI, FL
ZIP 33155
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Facility Phone Number: 305 669-7169

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1891463378

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	10D0905023
LAB Type	Physician Office
Facility Name	CHILDRENS SKIN CENTER PA
Street	3100 SW 62 AVE
City	MIAMI
State	FL
ZIP	33155
Phone	305 669-7169
CertificateType	2
CertificateEffectiveDate	10/5/2023
CertificateExpirationDate	10/4/2025
FacilityType	Compliance

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