10D2012708 CLIA NUMBER - INTERAMERICAN MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 10D2012708

Facility Name: INTERAMERICAN MEDICAL CENTER

Facility Address:
5378 W 16 AVE
HIALEAH, FL
ZIP 33012
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Facility Phone Number: 305 820-4101

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316198583

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D2012708
LAB Type	Physician Office
Facility Name	INTERAMERICAN MEDICAL CENTER
Street	5378 W 16 AVE
City	HIALEAH
State	FL
ZIP	33012
Phone	305 820-4101
CertificateType	4
CertificateEffectiveDate	9/8/2022
CertificateExpirationDate	9/7/2024
FacilityType	Waiver

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