10D1009427 CLIA NUMBER - AGUSTIN MARTINEZ MD PA

Laboratory Demographics

  • CLIA Code: 10D1009427
  • Facility Name: AGUSTIN MARTINEZ MD PA
  • Facility Address: 250 EAST 49TH STREET
    HIALEAH, FL
    ZIP 33013
  • Facility Phone: 305 822-6885
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AGUSTIN MARTINEZ MD
  • NPI Number: 1194762427
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D1009427
LAB Type Physician Office
Facility Name AGUSTIN MARTINEZ MD PA
Street 250 EAST 49TH STREET
City HIALEAH
State FL
ZIP 33013
Phone 305 822-6885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Physician Office
Lab Director AGUSTIN MARTINEZ MD

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