10D0915960 CLIA NUMBER - MAIMONIDES MEDICAL CENTER INC

Laboratory Demographics

  • CLIA Code: 10D0915960
  • Facility Name: MAIMONIDES MEDICAL CENTER INC
  • Facility Address: 1295 SOUTH US 1
    ROCKLEDGE, FL
    ZIP 32955
  • Facility Phone: 321 637-6654
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROLINA C. SARENAS
  • NPI Number: 1477514651
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0915960
LAB Type Physician Office
Facility Name MAIMONIDES MEDICAL CENTER INC
Street 1295 SOUTH US 1
City ROCKLEDGE
State FL
ZIP 32955
Phone 321 637-6654
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director CAROLINA C. SARENAS

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