10D1058074 CLIA NUMBER - NELSON VEGA MD FAAP PA

Laboratory Demographics

  • CLIA Code: 10D1058074
  • Facility Name: NELSON VEGA MD FAAP PA
  • Facility Address: 3837 SW 99TH AVE
    MIAMI, FL
    ZIP 33165
  • Facility Phone: 305 552-1717
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NELSON VEGA
  • NPI Number: 1235148156
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1058074
LAB Type Physician Office
Facility Name NELSON VEGA MD FAAP PA
Street 3837 SW 99TH AVE
City MIAMI
State FL
ZIP 33165
Phone 305 552-1717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director NELSON VEGA

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