10D0951926 CLIA NUMBER - JORGE A GONZALEZ DO

Laboratory Demographics

  • CLIA Code: 10D0951926
  • Facility Name: JORGE A GONZALEZ DO
  • Facility Address: 4302 ALTON RD STE 1020
    MIAMI BEACH, FL
    ZIP 33140
  • Facility Phone: 305 672-9333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE A. GONZALEZ
  • NPI Number: 1205922135
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0951926
LAB Type Physician Office
Facility Name JORGE A GONZALEZ DO
Street 4302 ALTON RD STE 1020
City MIAMI BEACH
State FL
ZIP 33140
Phone 305 672-9333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director JORGE A. GONZALEZ

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