10D0991409 CLIA NUMBER - COSME A GOMEZ MD UROLOGY SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 10D0991409
  • Facility Name: COSME A GOMEZ MD UROLOGY SPECIALTY CARE
  • Facility Address: GALLOWAY MEDICAL PAVILLION 7600 SW 87 AVE STE 206
    MIAMI, FL
    ZIP 33173
  • Facility Phone: 305 275-5525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COSME A. GOMEZ
  • NPI Number: 1316918485
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D0991409
LAB Type Physician Office
Facility Name COSME A GOMEZ MD UROLOGY SPECIALTY CARE
Street GALLOWAY MEDICAL PAVILLION 7600 SW 87 AVE STE 206
City MIAMI
State FL
ZIP 33173
Phone 305 275-5525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Physician Office
Lab Director COSME A. GOMEZ

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