10D0968176 CLIA NUMBER - SELEM MEDICAL CENTER CORP

Laboratory Demographics

  • CLIA Code: 10D0968176
  • Facility Name: SELEM MEDICAL CENTER CORP
  • Facility Address: 4800 W FLAGLER ST SUITE 6
    MIAMI, FL
    ZIP 33134
  • Facility Phone: 305 448-7848
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: XIOMARA SUAREZ-SALEM
  • NPI Number: 1811913262
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0968176
LAB Type Physician Office
Facility Name SELEM MEDICAL CENTER CORP
Street 4800 W FLAGLER ST SUITE 6
City MIAMI
State FL
ZIP 33134
Phone 305 448-7848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director XIOMARA SUAREZ-SALEM

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