10D1020630 CLIA NUMBER - IVO ALONSO MD PA

Laboratory Demographics

CLIA Number: 10D1020630

Facility Name: IVO ALONSO MD PA

Facility Address:
3934 SW 8TH ST STE 207
CORAL GABLES, FL
ZIP 33134
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Facility Phone Number: 305 448-7499

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306839980

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name Field Value
CLIA Number 10D1020630
LAB Type Physician Office
Facility Name IVO ALONSO MD PA
Street 3934 SW 8TH ST STE 207
City CORAL GABLES
State FL
ZIP 33134
Phone 305 448-7499
CertificateType 4
CertificateEffectiveDate 12/24/2023
CertificateExpirationDate 12/23/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024