10D0998454 CLIA NUMBER - JOAQUIN A GOMEZ MD PA

Laboratory Demographics

  • CLIA Code: 10D0998454
  • Facility Name: JOAQUIN A GOMEZ MD PA
  • Facility Address: 2760 SW 97TH AVE STE 105
    MIAMI, FL
    ZIP 33165
  • Facility Phone: 305 228-7120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOAQUIN A. GOMEZ MD
  • NPI Number: 1295742815
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0998454
LAB Type Physician Office
Facility Name JOAQUIN A GOMEZ MD PA
Street 2760 SW 97TH AVE STE 105
City MIAMI
State FL
ZIP 33165
Phone 305 228-7120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director JOAQUIN A. GOMEZ MD

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