10D1019928 CLIA NUMBER - ENRIQUE C FERNANDEZ MD PA

Laboratory Demographics

  • CLIA Code: 10D1019928
  • Facility Name: ENRIQUE C FERNANDEZ MD PA
  • Facility Address: 11760 SW BIRD RD STE 741
    MIAMI, FL
    ZIP 33175
  • Facility Phone: 305 559-9732
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ENRIQUE C. FERNANDEZ
  • NPI Number: 1528040086
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1019928
LAB Type Physician Office
Facility Name ENRIQUE C FERNANDEZ MD PA
Street 11760 SW BIRD RD STE 741
City MIAMI
State FL
ZIP 33175
Phone 305 559-9732
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director ENRIQUE C. FERNANDEZ

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