10D1023417 CLIA NUMBER - JUAN JESUS SALINA MD CORP

Laboratory Demographics

CLIA Number: 10D1023417

Facility Name: JUAN JESUS SALINA MD CORP

Facility Address:
4212 W 16TH AVE
HIALEAH, FL
ZIP 33012
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Facility Phone Number: 305 821-5525

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043643067

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D1023417
LAB Type	Physician Office
Facility Name	JUAN JESUS SALINA MD CORP
Street	4212 W 16TH AVE
City	HIALEAH
State	FL
ZIP	33012
Phone	305 821-5525
CertificateType	4
CertificateEffectiveDate	6/17/2022
CertificateExpirationDate	6/16/2024
FacilityType	Waiver

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