10D2024457 CLIA NUMBER - CENTER FOR DIAGNOSTIC IMAGING

Laboratory Demographics

  • CLIA Code: 10D2024457
  • Facility Name: CENTER FOR DIAGNOSTIC IMAGING
  • Facility Address: 1380 NE MIAMI GARDENS DR STE 115
    NORTH MIAMI BEACH, FL
    ZIP 33179
  • Facility Phone: 305 947-4461
  • Facility Type: Other - ITDF
  • Facility Type: Waiver
  • Lab Director: ERIC GODREAU
  • NPI Number: 1689677668
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2024457
LAB Type Other - ITDF
Facility Name CENTER FOR DIAGNOSTIC IMAGING
Street 1380 NE MIAMI GARDENS DR STE 115
City NORTH MIAMI BEACH
State FL
ZIP 33179
Phone 305 947-4461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Other - ITDF
Lab Director ERIC GODREAU

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