10D1079027 CLIA NUMBER - LEON MEDICAL CENTERS LLC

Laboratory Demographics

CLIA Number: 10D1079027

Facility Name: LEON MEDICAL CENTERS LLC

Facility Address:
2020 WEST 64TH STREET
HIALEAH, FL
ZIP 33016
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Facility Phone Number: 305 370-4344

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1700941135

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	10D1079027
LAB Type	Physician Office
Facility Name	LEON MEDICAL CENTERS LLC
Street	2020 WEST 64TH STREET
City	HIALEAH
State	FL
ZIP	33016
Phone	305 370-4344
CertificateType	2
CertificateEffectiveDate	9/22/2022
CertificateExpirationDate	9/21/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024