10D1068615 CLIA NUMBER - LEAL MEDICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1068615
  • Facility Name: LEAL MEDICAL CENTER LLC
  • Facility Address: 1690 NE 8TH STREET
    HOMESTEAD, FL
    ZIP 33030
  • Facility Phone: 305 246-1265
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JHACNEA LEAL
  • NPI Number: 1710931241
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1068615
LAB Type Physician Office
Facility Name LEAL MEDICAL CENTER LLC
Street 1690 NE 8TH STREET
City HOMESTEAD
State FL
ZIP 33030
Phone 305 246-1265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2023
Certificate Expiration Date 5/15/2025
Facility Type Physician Office
Lab Director JHACNEA LEAL

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This page was last updated on: 3/20/2025