10D1030212 CLIA NUMBER - CONCENTRA MEDICAL CENTERS

Laboratory Demographics

  • CLIA Code: 10D1030212
  • Facility Name: CONCENTRA MEDICAL CENTERS
  • Facility Address: 20535 NW 2ND AVE STE 150
    MIAMI GARDENS, FL
    ZIP 33169
  • Facility Phone: 305 653-7720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAIME BICHARA TOBAR
  • NPI Number: 1316096076
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1030212
LAB Type Physician Office
Facility Name CONCENTRA MEDICAL CENTERS
Street 20535 NW 2ND AVE STE 150
City MIAMI GARDENS
State FL
ZIP 33169
Phone 305 653-7720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JAIME BICHARA TOBAR

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