10D2010126 CLIA NUMBER - DIGESTIVE MEDICINE HISTOLOGY LAB LLC

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Laboratory Demographics

CLIA Number: 10D2010126

Facility Name: DIGESTIVE MEDICINE HISTOLOGY LAB LLC

Facility Address:
2140 W 68TH ST STE 103
HIALEAH, FL
ZIP 33016
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Facility Phone Number: 305 822-4107

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1346784733

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D2010126
LAB Type	Physician Office
Facility Name	DIGESTIVE MEDICINE HISTOLOGY LAB LLC
Street	2140 W 68TH ST STE 103
City	HIALEAH
State	FL
ZIP	33016
Phone	305 822-4107
CertificateType	1
CertificateEffectiveDate	9/7/2022
CertificateExpirationDate	9/6/2024
FacilityType	Accreditation

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