10D1092477 CLIA NUMBER - VILMED INC

Laboratory Demographics

  • CLIA Code: 10D1092477
  • Facility Name: VILMED INC
  • Facility Address: 9111 PARK DR
    MIAMI SHORES, FL
    ZIP 33138
  • Facility Phone: 305 756-6110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TANYA DE LA ROSA
  • NPI Number: 1730259649
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1092477
LAB Type Physician Office
Facility Name VILMED INC
Street 9111 PARK DR
City MIAMI SHORES
State FL
ZIP 33138
Phone 305 756-6110
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 TANYA DE LA ROSA

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