10D1090768 CLIA NUMBER - AGA CLINICAL TRIALS

Laboratory Demographics

  • CLIA Code: 10D1090768
  • Facility Name: AGA CLINICAL TRIALS
  • Facility Address: 900 W 49TH ST STE 430
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 305 819-1551
  • Facility Type: Home Health Agency
  • Facility Type: Microscopy
  • Lab Director: DARIO D. ALTAMIRANO
  • NPI Number: 1922376201
  • Taxonomy: 261QR1100X - Clinic/Center

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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
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Home Health Agency
Lab Director DARIO D. ALTAMIRANO

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