10D2019668 CLIA NUMBER - SOUTH DADE HOMELESS ASSISTANCE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 10D2019668
  • Facility Name: SOUTH DADE HOMELESS ASSISTANCE HEALTH CENTER
  • Facility Address: 28205 SW 125TH AVE
    HOMESTEAD, FL
    ZIP 33033
  • Facility Phone: 305 416-7166
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ROBERTO GONZALEZ
  • NPI Number: 1033775036
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2019668
LAB Type Community Clinic
Facility Name SOUTH DADE HOMELESS ASSISTANCE HEALTH CENTER
Street 28205 SW 125TH AVE
City HOMESTEAD
State FL
ZIP 33033
Phone 305 416-7166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Community Clinic
Lab Director ROBERTO GONZALEZ

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