10D0975523 CLIA NUMBER - CONCENTRA MEDICAL CENTERS

Laboratory Demographics

  • CLIA Code: 10D0975523
  • Facility Name: CONCENTRA MEDICAL CENTERS
  • Facility Address: 6221 NW 36 ST
    VIRGINIA GARDENS, FL
    ZIP 33166
  • Facility Phone: 305 871-3627
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAIME BICHARA TOBAR
  • NPI Number: 1497804157
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0975523
LAB Type Physician Office
Facility Name CONCENTRA MEDICAL CENTERS
Street 6221 NW 36 ST
City VIRGINIA GARDENS
State FL
ZIP 33166
Phone 305 871-3627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Physician Office
Lab Director JAIME BICHARA TOBAR

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