10D0975523 CLIA NUMBER - PHYSICIANS HEALTH CENTER

Laboratory Demographics

CLIA Number: 10D0975523

Facility Name: PHYSICIANS HEALTH CENTER

Facility Address:
6221 NW 36 ST
MIAMI, FL
ZIP 33166
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Facility Phone Number: 305 884-5599

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497804157

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D0975523
LAB Type	Physician Office
Facility Name	PHYSICIANS HEALTH CENTER
Street	6221 NW 36 ST
City	MIAMI
State	FL
ZIP	33166
Phone	305 884-5599
CertificateType	4
CertificateEffectiveDate	7/11/2022
CertificateExpirationDate	7/10/2024
FacilityType	Waiver

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