10D2013989 CLIA NUMBER - SOUTH FLORIDA PEDIATRIC GROUP INC

Laboratory Demographics

  • CLIA Code: 10D2013989
  • Facility Name: SOUTH FLORIDA PEDIATRIC GROUP INC
  • Facility Address: 6222 SW 8 ST
    MIAMI, FL
    ZIP 33144
  • Facility Phone: 305 221-5115
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE L. LUACES
  • NPI Number: 1821279357
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2013989
LAB Type Physician Office
Facility Name SOUTH FLORIDA PEDIATRIC GROUP INC
Street 6222 SW 8 ST
City MIAMI
State FL
ZIP 33144
Phone 305 221-5115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director JORGE L. LUACES

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