10D1053712 CLIA NUMBER - LOPEZ MEDICAL PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 10D1053712
  • Facility Name: LOPEZ MEDICAL PRACTICE LLC
  • Facility Address: 351 NW 42ND AVE STE 403
    MIAMI, FL
    ZIP 33126
  • Facility Phone: 305 643-6447
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLGA E. LOPEZ
  • NPI Number: 1700083086
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D1053712
LAB Type Physician Office
Facility Name LOPEZ MEDICAL PRACTICE LLC
Street 351 NW 42ND AVE STE 403
City MIAMI
State FL
ZIP 33126
Phone 305 643-6447
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director OLGA E. LOPEZ

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