10D1086081 CLIA NUMBER - MEMORIAL DIVISION OF CARDIAC SERVICES

Laboratory Demographics

  • CLIA Code: 10D1086081
  • Facility Name: MEMORIAL DIVISION OF CARDIAC SERVICES
  • Facility Address: 20803 BISCAYNE BLVD STE 204
    AVENTURA, FL
    ZIP 33180
  • Facility Phone: 954 265-7900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BERNARD E. SHAIR
  • NPI Number: 1326479585
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1086081
LAB Type Physician Office
Facility Name MEMORIAL DIVISION OF CARDIAC SERVICES
Street 20803 BISCAYNE BLVD STE 204
City AVENTURA
State FL
ZIP 33180
Phone 954 265-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director BERNARD E. SHAIR

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