10D1092476 CLIA NUMBER - GASTRO HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 10D1092476
  • Facility Name: GASTRO HEALTH, LLC
  • Facility Address: 12550 BISCAYNE BLVD STE 705
    MIAMI, FL
    ZIP 33181
  • Facility Phone: 305 892-3101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDUARDO KOFMAN
  • NPI Number: 1487609855
  • Taxonomy: 207RG0100X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1092476
LAB Type Physician Office
Facility Name GASTRO HEALTH, LLC
Street 12550 BISCAYNE BLVD STE 705
City MIAMI
State FL
ZIP 33181
Phone 305 892-3101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Physician Office
Lab Director EDUARDO KOFMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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