10D2001412 CLIA NUMBER - NEW LIFE OB/GYN LLC

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Laboratory Demographics

CLIA Number: 10D2001412

Facility Name: NEW LIFE OB/GYN LLC

Facility Address:
2300 W 84 ST STE 500
HIALEAH, FL
ZIP 33016
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Facility Phone Number: 561 300-3412

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073181236

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D2001412
LAB Type	Physician Office
Facility Name	NEW LIFE OB/GYN LLC
Street	2300 W 84 ST STE 500
City	HIALEAH
State	FL
ZIP	33016
Phone	561 300-3412
CertificateType	4
CertificateEffectiveDate	12/18/2023
CertificateExpirationDate	12/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024