10D0939333 CLIA NUMBER - MIAMI LAKES PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D0939333
  • Facility Name: MIAMI LAKES PEDIATRICS
  • Facility Address: 14400 NW 77TH COURT STE 102
    MIAMI LAKES, FL
    ZIP 33016
  • Facility Phone: 305 823-7768
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAYRA F. CAPOTE
  • NPI Number: 1861059248
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0939333
LAB Type Physician Office
Facility Name MIAMI LAKES PEDIATRICS
Street 14400 NW 77TH COURT STE 102
City MIAMI LAKES
State FL
ZIP 33016
Phone 305 823-7768
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Physician Office
Lab Director MAYRA F. CAPOTE

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