10D1048698 CLIA NUMBER - ANTONIO ALEXIS PENA MD PA

Laboratory Demographics

  • CLIA Code: 10D1048698
  • Facility Name: ANTONIO ALEXIS PENA MD PA
  • Facility Address: 8600 SW 92ND ST STE 101
    MIAMI, FL
    ZIP 33156
  • Facility Phone: 305 596-5286
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTONIO A. PENA MD
  • NPI Number: 1447397211
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1048698
LAB Type Physician Office
Facility Name ANTONIO ALEXIS PENA MD PA
Street 8600 SW 92ND ST STE 101
City MIAMI
State FL
ZIP 33156
Phone 305 596-5286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director ANTONIO A. PENA MD

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