10D0995547 CLIA NUMBER - COMPLETE HEALTH NETWORK INC

Laboratory Demographics

  • CLIA Code: 10D0995547
  • Facility Name: COMPLETE HEALTH NETWORK INC
  • Facility Address: 12905 SW 42 ST SUITE 222
    MIAMI, FL
    ZIP 33175
  • Facility Phone: 305 805-7963
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PASCUAL J. MORA
  • NPI Number: 1477568228
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D0995547
LAB Type Home Health Agency
Facility Name COMPLETE HEALTH NETWORK INC
Street 12905 SW 42 ST SUITE 222
City MIAMI
State FL
ZIP 33175
Phone 305 805-7963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Home Health Agency
Lab Director PASCUAL J. MORA

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