10D0961807 CLIA NUMBER - MANUEL J SONE DPM PA

Laboratory Demographics

CLIA Number: 10D0961807

Facility Name: MANUEL J SONE DPM PA

Facility Address:
9831 NW 58 ST UNIT 127
DORAL, FL
ZIP 33178
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Facility Phone Number: 305 221-6862

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1396744272

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name Field Value
CLIA Number 10D0961807
LAB Type Physician Office
Facility Name MANUEL J SONE DPM PA
Street 9831 NW 58 ST UNIT 127
City DORAL
State FL
ZIP 33178
Phone 305 221-6862
CertificateType 2
CertificateEffectiveDate 9/28/2023
CertificateExpirationDate 9/27/2025
FacilityType Compliance

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