10D0961579 CLIA NUMBER - FLORIDA PHYSICIANS GROUP INC

Laboratory Demographics

  • CLIA Code: 10D0961579
  • Facility Name: FLORIDA PHYSICIANS GROUP INC
  • Facility Address: 686 E 49 ST
    HIALEAH, FL
    ZIP 33013
  • Facility Phone: 305 696-7921
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILFRIDO A. BENITEZ
  • NPI Number: 1417009564
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D0961579
LAB Type Physician Office
Facility Name FLORIDA PHYSICIANS GROUP INC
Street 686 E 49 ST
City HIALEAH
State FL
ZIP 33013
Phone 305 696-7921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Physician Office
Lab Director WILFRIDO A. BENITEZ

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