10D0926890 CLIA NUMBER - CAMILLUS HEALTH CONCERN INC

Laboratory Demographics

  • CLIA Code: 10D0926890
  • Facility Name: CAMILLUS HEALTH CONCERN INC
  • Facility Address: 336 NW 5TH ST
    MIAMI, FL
    ZIP 33128
  • Facility Phone: 305 577-4840
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: CHANDRA M. JENNINGS
  • NPI Number: 1659536365
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0926890
LAB Type Federally Qualified Health Center
Facility Name CAMILLUS HEALTH CONCERN INC
Street 336 NW 5TH ST
City MIAMI
State FL
ZIP 33128
Phone 305 577-4840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2023
Certificate Expiration Date 10/4/2025
Facility Type Federally Qualified Health Center
Lab Director CHANDRA M. JENNINGS

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This page was last updated on: 6/4/2025