10D2012727 CLIA NUMBER - MILTON BENGOA MD

Laboratory Demographics

  • CLIA Code: 10D2012727
  • Facility Name: MILTON BENGOA MD
  • Facility Address: 925 NE 30 TERR STE 210
    HOMESTEAD, FL
    ZIP 33033
  • Facility Phone: 305 248-9488
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MILTON BENGOA
  • NPI Number: 1033166806
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2012727
LAB Type Physician Office
Facility Name MILTON BENGOA MD
Street 925 NE 30 TERR STE 210
City HOMESTEAD
State FL
ZIP 33033
Phone 305 248-9488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director MILTON BENGOA

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