10D2020979 CLIA NUMBER - DOUGLAS GARDENS HOSPITAL

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Laboratory Demographics

CLIA Number: 10D2020979

Facility Name: DOUGLAS GARDENS HOSPITAL

Facility Address:
5200 NE 2 AVENUE
MIAMI, FL
ZIP 33137
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Facility Phone Number: 305 751-8626

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1952584377

Taxonomy: 261QM1200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2020979
LAB Type	Hospital
Facility Name	DOUGLAS GARDENS HOSPITAL
Street	5200 NE 2 AVENUE
City	MIAMI
State	FL
ZIP	33137
Phone	305 751-8626
CertificateType	4
CertificateEffectiveDate	3/3/2023
CertificateExpirationDate	3/2/2025
FacilityType	Waiver

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