10D2020599 CLIA NUMBER - PORTOFINO PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D2020599
  • Facility Name: PORTOFINO PEDIATRICS
  • Facility Address: 925 NE 30TH TERR SUITE 202
    HOMESTEAD, FL
    ZIP 33033
  • Facility Phone: 305 246-1030
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: NIVIA VAZQUEZ
  • NPI Number: 1194944611
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2020599
LAB Type Physician Office
Facility Name PORTOFINO PEDIATRICS
Street 925 NE 30TH TERR SUITE 202
City HOMESTEAD
State FL
ZIP 33033
Phone 305 246-1030
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Physician Office
Lab Director NIVIA VAZQUEZ

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