10D0940964 CLIA NUMBER - JUAN BARROSO MD

Laboratory Demographics

CLIA Number: 10D0940964

Facility Name: JUAN BARROSO MD

Facility Address:
1435 W 49TH PLACE SUITE 603
HIALEAH, FL
ZIP 33012
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Facility Phone Number: 305 556-1699

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699863118

Taxonomy: 207QA0505X - Family Medicine
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

CLIA Record

Field Name	Field Value
CLIA Number	10D0940964
LAB Type	Physician Office
Facility Name	JUAN BARROSO MD
Street	1435 W 49TH PLACE SUITE 603
City	HIALEAH
State	FL
ZIP	33012
Phone	305 556-1699
CertificateType	4
CertificateEffectiveDate	2/19/2024
CertificateExpirationDate	2/18/2026
FacilityType	Waiver

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