10D0991339 CLIA NUMBER - ROBERT O'NEILL MD PA

Laboratory Demographics

CLIA Number: 10D0991339

Facility Name: ROBERT O'NEILL MD PA

Facility Address:
7150 WEST 20 AVE STE 612
HIALEAH, FL
ZIP 33016
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Facility Phone Number: 305 827-1561

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1205810439

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D0991339
LAB Type	Physician Office
Facility Name	ROBERT O'NEILL MD PA
Street	7150 WEST 20 AVE STE 612
City	HIALEAH
State	FL
ZIP	33016
Phone	305 827-1561
CertificateType	4
CertificateEffectiveDate	9/18/2023
CertificateExpirationDate	9/17/2025
FacilityType	Waiver

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