10D0948013 CLIA NUMBER - JORGE TRAVIESO MD

Laboratory Demographics

  • CLIA Code: 10D0948013
  • Facility Name: JORGE TRAVIESO MD
  • Facility Address: 2369 W 52ND STREET
    HIALEAH, FL
    ZIP 33016
  • Facility Phone: 305 825-0587
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE TRAVIESO MD
  • NPI Number: 1144398157
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0948013
LAB Type Physician Office
Facility Name JORGE TRAVIESO MD
Street 2369 W 52ND STREET
City HIALEAH
State FL
ZIP 33016
Phone 305 825-0587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Physician Office
Lab Director JORGE TRAVIESO MD

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