10D0944137 CLIA NUMBER - AVELINO F MILLARES MD PA

Laboratory Demographics

  • CLIA Code: 10D0944137
  • Facility Name: AVELINO F MILLARES MD PA
  • Facility Address: 356 SOUTH INDIANA AVENUE
    ENGLEWOOD, FL
    ZIP 34223
  • Facility Phone: 941 474-1042
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AVELINO F. MILLARES
  • NPI Number: 1326059007
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0944137
LAB Type Physician Office
Facility Name AVELINO F MILLARES MD PA
Street 356 SOUTH INDIANA AVENUE
City ENGLEWOOD
State FL
ZIP 34223
Phone 941 474-1042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director AVELINO F. MILLARES

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