10D1090995 CLIA NUMBER - ANGELINE M PRADO MD

Laboratory Demographics

  • CLIA Code: 10D1090995
  • Facility Name: ANGELINE M PRADO MD
  • Facility Address: 9980 SW 40 ST
    MIAMI, FL
    ZIP 33165
  • Facility Phone: 305 223-2255
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELINE M. PRADO MD
  • NPI Number: 1558376236
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1090995
LAB Type Physician Office
Facility Name ANGELINE M PRADO MD
Street 9980 SW 40 ST
City MIAMI
State FL
ZIP 33165
Phone 305 223-2255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director ANGELINE M. PRADO MD

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