10D1055623 CLIA NUMBER - DOMINIC C MAGGIO MD LLC

Laboratory Demographics

  • CLIA Code: 10D1055623
  • Facility Name: DOMINIC C MAGGIO MD LLC
  • Facility Address: 3661 SOUTH MIAMI AVENUE SUITE 605
    MIAMI, FL
    ZIP 33133
  • Facility Phone: (305) 324-0200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOMINIC C. MAGGIO
  • NPI Number: 1336199710
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1055623
LAB Type Physician Office
Facility Name DOMINIC C MAGGIO MD LLC
Street 3661 SOUTH MIAMI AVENUE SUITE 605
City MIAMI
State FL
ZIP 33133
Phone 3053240200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director DOMINIC C. MAGGIO

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This page was last updated on: 5/18/2026