10D0940269 CLIA NUMBER - RAFAEL ANTUN MD PA

Laboratory Demographics

  • CLIA Code: 10D0940269
  • Facility Name: RAFAEL ANTUN MD PA
  • Facility Address: 7600 SW 57 AVE STE 213
    MIAMI, FL
    ZIP 33143
  • Facility Phone: 305 548-4005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAFAEL ANTUN
  • NPI Number: 1457309288
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D0940269
LAB Type Physician Office
Facility Name RAFAEL ANTUN MD PA
Street 7600 SW 57 AVE STE 213
City MIAMI
State FL
ZIP 33143
Phone 305 548-4005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director RAFAEL ANTUN

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