10D0932067 CLIA NUMBER - BMA OF SOUTH MIAMI

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Laboratory Demographics

CLIA Number: 10D0932067

Facility Name: BMA OF SOUTH MIAMI

Facility Address:
8770 SW 144 ST
MIAMI, FL
ZIP 33176
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Facility Phone Number: 305 255-3100

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1548372394

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0932067
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BMA OF SOUTH MIAMI
Street	8770 SW 144 ST
City	MIAMI
State	FL
ZIP	33176
Phone	305 255-3100
CertificateType	4
CertificateEffectiveDate	8/12/2023
CertificateExpirationDate	8/11/2025
FacilityType	Waiver

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