10D1092007 CLIA NUMBER - INSTITUTE FOR CARDIOVASCULAR DISEASE

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Laboratory Demographics

CLIA Number: 10D1092007

Facility Name: INSTITUTE FOR CARDIOVASCULAR DISEASE

Facility Address:
2301 NW 87TH AVE STE 502
MIAMI, FL
ZIP 33172
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Facility Phone Number: 305 558-3300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1558557918

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D1092007
LAB Type	Physician Office
Facility Name	INSTITUTE FOR CARDIOVASCULAR DISEASE
Street	2301 NW 87TH AVE STE 502
City	MIAMI
State	FL
ZIP	33172
Phone	305 558-3300
CertificateType	4
CertificateEffectiveDate	11/14/2022
CertificateExpirationDate	11/13/2024
FacilityType	Waiver

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