10D2024673 CLIA NUMBER - JOSE LUIS RUIZ MD PA

Laboratory Demographics

  • CLIA Code: 10D2024673
  • Facility Name: JOSE LUIS RUIZ MD PA
  • Facility Address: 11285 SW 211 ST STE 304
    CUTLER BAY, FL
    ZIP 33189
  • Facility Phone: 305 971-6883
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE L. RUIZ
  • NPI Number: 1780864991
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2024673
LAB Type Physician Office
Facility Name JOSE LUIS RUIZ MD PA
Street 11285 SW 211 ST STE 304
City CUTLER BAY
State FL
ZIP 33189
Phone 305 971-6883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director JOSE L. RUIZ

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