10D1100887 CLIA NUMBER - MEDI NURSE

Laboratory Demographics

  • CLIA Code: 10D1100887
  • Facility Name: MEDI NURSE
  • Facility Address: 12855 SW 132ND STREET, SUITE 206
    MIAMI, FL
    ZIP 33186
  • Facility Phone: 305 826-7127
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MOE B. AVILA
  • NPI Number: 1225123607
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D1100887
LAB Type Home Health Agency
Facility Name MEDI NURSE
Street 12855 SW 132ND STREET, SUITE 206
City MIAMI
State FL
ZIP 33186
Phone 305 826-7127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Home Health Agency
Lab Director MOE B. AVILA

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