10D1020781 CLIA NUMBER - BAYSIDE AMBULATORY CENTER LLC DBA BAYSIDE AMBULATORY CENTER

Laboratory Demographics

  • CLIA Code: 10D1020781
  • Facility Name: BAYSIDE AMBULATORY CENTER LLC DBA BAYSIDE AMBULATORY CENTER
  • Facility Address: 3641 S MIAMI AVE 4TH FL
    MIAMI, FL
    ZIP 33133
  • Facility Phone: 305 854-3636
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: THOMAS KEITH JENKINS
  • NPI Number: 1023036688
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1020781
LAB Type Ambulatory Surgery Center
Facility Name BAYSIDE AMBULATORY CENTER LLC DBA BAYSIDE AMBULATORY CENTER
Street 3641 S MIAMI AVE 4TH FL
City MIAMI
State FL
ZIP 33133
Phone 305 854-3636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Ambulatory Surgery Center
Lab Director THOMAS KEITH JENKINS

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