10D1091547 CLIA NUMBER - VIVIANA PEREZ, MD, PA

Laboratory Demographics

CLIA Number: 10D1091547

Facility Name: VIVIANA PEREZ, MD, PA

Facility Address:
4410 W 16TH AVE STE 26
HIALEAH, FL
ZIP 33012
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Facility Phone Number: 305 822-8883

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881645802

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D1091547
LAB Type	Physician Office
Facility Name	VIVIANA PEREZ, MD, PA
Street	4410 W 16TH AVE STE 26
City	HIALEAH
State	FL
ZIP	33012
Phone	305 822-8883
CertificateType	4
CertificateEffectiveDate	2/20/2023
CertificateExpirationDate	2/19/2025
FacilityType	Waiver

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