10D1097739 CLIA NUMBER - BARDISA LYL CENTER, INC

Laboratory Demographics

  • CLIA Code: 10D1097739
  • Facility Name: BARDISA LYL CENTER, INC
  • Facility Address: 7374 SW 93RD AVE STE 202
    MIAMI, FL
    ZIP 33173
  • Facility Phone: 305 661-2002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSELIND H. BARDISA
  • NPI Number: 1184286890
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1097739
LAB Type Physician Office
Facility Name BARDISA LYL CENTER, INC
Street 7374 SW 93RD AVE STE 202
City MIAMI
State FL
ZIP 33173
Phone 305 661-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director ROSELIND H. BARDISA

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