10D1090768 CLIA NUMBER - AGA CLINICAL TRIALS

Laboratory Demographics

CLIA Number: 10D1090768

Facility Name: AGA CLINICAL TRIALS

Facility Address:
900 W 49TH ST STE 430
HIALEAH, FL
ZIP 33012
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Facility Phone Number: 305 819-1551

Facility Type: Home Health Agency

Certificate Type: Microscopy

NPI Number: 1922376201

Taxonomy: 261QR1100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1090768
LAB Type	Home Health Agency
Facility Name	AGA CLINICAL TRIALS
Street	900 W 49TH ST STE 430
City	HIALEAH
State	FL
ZIP	33012
Phone	305 819-1551
CertificateType	3
CertificateEffectiveDate	2/8/2024
CertificateExpirationDate	2/7/2026
FacilityType	PPMP

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