10D1095553 CLIA NUMBER - HOMESTEAD VA CBOC

Laboratory Demographics

  • CLIA Code: 10D1095553
  • Facility Name: HOMESTEAD VA CBOC
  • Facility Address: 950 N FROME AVE STE 401
    HOMESTEAD, FL
    ZIP 33030
  • Facility Phone: (305) 451-0164
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: RAFAEL VALENZUELA
  • NPI Number: 1194148023
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1095553
LAB Type Ambulatory Surgery Center
Facility Name HOMESTEAD VA CBOC
Street 950 N FROME AVE STE 401
City HOMESTEAD
State FL
ZIP 33030
Phone 3054510164
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/11/2009
Certificate Expiration Date 5/22/2026
Facility Type Ambulatory Surgery Center
Lab Director RAFAEL VALENZUELA

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This page was last updated on: 5/18/2026