10D0922751 CLIA NUMBER - BERAJA HEALTHCARE, LLC

Laboratory Demographics

CLIA Number: 10D0922751

Facility Name: BERAJA HEALTHCARE, LLC

Facility Address:
2550 DOUGLAS RD 1ST FL STE 100
CORAL GABLES, FL
ZIP 33134
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Facility Phone Number: 305 443-7070

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1386654630

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0922751
LAB Type	Ambulatory Surgery Center
Facility Name	BERAJA HEALTHCARE, LLC
Street	2550 DOUGLAS RD 1ST FL STE 100
City	CORAL GABLES
State	FL
ZIP	33134
Phone	305 443-7070
CertificateType	4
CertificateEffectiveDate	12/5/2022
CertificateExpirationDate	12/4/2024
FacilityType	Waiver

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