10D1014095 CLIA NUMBER - MARIO A DELGADO FERNANDEZ MD PA

Laboratory Demographics

  • CLIA Code: 10D1014095
  • Facility Name: MARIO A DELGADO FERNANDEZ MD PA
  • Facility Address: 1950 SW 27TH AVE
    MIAMI, FL
    ZIP 33145
  • Facility Phone: 305 648-0011
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIO A. DELGADO FERNANDEZ MD
  • NPI Number: 1154525558
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1014095
LAB Type Physician Office
Facility Name MARIO A DELGADO FERNANDEZ MD PA
Street 1950 SW 27TH AVE
City MIAMI
State FL
ZIP 33145
Phone 305 648-0011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Physician Office
Lab Director MARIO A. DELGADO FERNANDEZ MD

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