10D1086573 CLIA NUMBER - SOUTH MIAMI CARDIOLOGY PA

Laboratory Demographics

CLIA Number: 10D1086573

Facility Name: SOUTH MIAMI CARDIOLOGY PA

Facility Address:
7330 SW 62ND PL STE 310
SOUTH MIAMI, FL
ZIP 33143
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Facility Phone Number: 305 663-1011

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790335628

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	10D1086573
LAB Type	Physician Office
Facility Name	SOUTH MIAMI CARDIOLOGY PA
Street	7330 SW 62ND PL STE 310
City	SOUTH MIAMI
State	FL
ZIP	33143
Phone	305 663-1011
CertificateType	4
CertificateEffectiveDate	7/15/2022
CertificateExpirationDate	7/14/2024
FacilityType	Waiver

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