10D0972865 CLIA NUMBER - NEST MEDICAL CENTER PA

Laboratory Demographics

  • CLIA Code: 10D0972865
  • Facility Name: NEST MEDICAL CENTER PA
  • Facility Address: 3161 SW 160TH AVE
    MIRAMAR, FL
    ZIP 33027
  • Facility Phone: 954 450-3550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAFAEL HERNANDEZ LORA
  • NPI Number: 1376525121
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0972865
LAB Type Physician Office
Facility Name NEST MEDICAL CENTER PA
Street 3161 SW 160TH AVE
City MIRAMAR
State FL
ZIP 33027
Phone 954 450-3550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director RAFAEL HERNANDEZ LORA

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