10D0982850 CLIA NUMBER - WESTLAND PEDIATRICS & FAMILY MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 10D0982850

Facility Name: WESTLAND PEDIATRICS & FAMILY MEDICAL GROUP INC

Facility Address:
4861 WEST 4 AVENUE
HIALEAH, FL
ZIP 33012
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Facility Phone Number: 305 826-7787

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1205019171

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	10D0982850
LAB Type	Physician Office
Facility Name	WESTLAND PEDIATRICS & FAMILY MEDICAL GROUP INC
Street	4861 WEST 4 AVENUE
City	HIALEAH
State	FL
ZIP	33012
Phone	305 826-7787
CertificateType	4
CertificateEffectiveDate	2/17/2023
CertificateExpirationDate	2/16/2025
FacilityType	Waiver

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