10D1085088 CLIA NUMBER - PREMIUM CARE DOCTORS CORP

Laboratory Demographics

  • CLIA Code: 10D1085088
  • Facility Name: PREMIUM CARE DOCTORS CORP
  • Facility Address: 1816 E 4TH AVE
    HIALEAH, FL
    ZIP 33010
  • Facility Phone: 305 805-0012
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANUEL A. GALGUERA MD
  • NPI Number: 1174695449
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1085088
LAB Type Physician Office
Facility Name PREMIUM CARE DOCTORS CORP
Street 1816 E 4TH AVE
City HIALEAH
State FL
ZIP 33010
Phone 305 805-0012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Physician Office
Lab Director MANUEL A. GALGUERA MD

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