10D1081382 CLIA NUMBER - GL MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D1081382
  • Facility Name: GL MEDICAL GROUP LLC
  • Facility Address: 7000 SW 97TH AVE STE 110
    MIAMI, FL
    ZIP 33173
  • Facility Phone: 305 662-7234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANUEL GONZALEZ
  • NPI Number: 1164618898
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1081382
LAB Type Physician Office
Facility Name GL MEDICAL GROUP LLC
Street 7000 SW 97TH AVE STE 110
City MIAMI
State FL
ZIP 33173
Phone 305 662-7234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director MANUEL GONZALEZ

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