10D1106670 CLIA NUMBER - GUTLEBER ADMINISTRATION

Laboratory Demographics

  • CLIA Code: 10D1106670
  • Facility Name: GUTLEBER ADMINISTRATION
  • Facility Address: 139 NE 15TH ST
    HOMESTEAD, FL
    ZIP 33030
  • Facility Phone: 305 247-1213
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLOS DELGADO
  • NPI Number: 1730602210
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D1106670
LAB Type Physician Office
Facility Name GUTLEBER ADMINISTRATION
Street 139 NE 15TH ST
City HOMESTEAD
State FL
ZIP 33030
Phone 305 247-1213
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Physician Office
Lab Director CARLOS DELGADO

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