10D1057935 CLIA NUMBER - ANDY R GREEN MD PA

Laboratory Demographics

  • CLIA Code: 10D1057935
  • Facility Name: ANDY R GREEN MD PA
  • Facility Address: 1380 NE MIAMI GARDENS DR STE 270
    NORTH MIAMI BEACH, FL
    ZIP 33179
  • Facility Phone: (305) 945-2877
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ANDY R. GREEN
  • NPI Number: 1083647788
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D1057935
LAB Type Physician Office
Facility Name ANDY R GREEN MD PA
Street 1380 NE MIAMI GARDENS DR STE 270
City NORTH MIAMI BEACH
State FL
ZIP 33179
Phone 3059452877
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director DR. ANDY R. GREEN

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