10D2027399 CLIA NUMBER - MARIO GOMEZ MD PA

Laboratory Demographics

  • CLIA Code: 10D2027399
  • Facility Name: MARIO GOMEZ MD PA
  • Facility Address: 925 NE 30TH TERR STE 300
    HOMESTEAD, FL
    ZIP 33033
  • Facility Phone: 786 377-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIO A. GOMEZ
  • NPI Number: 1033386131
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D2027399
LAB Type Physician Office
Facility Name MARIO GOMEZ MD PA
Street 925 NE 30TH TERR STE 300
City HOMESTEAD
State FL
ZIP 33033
Phone 786 377-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director MARIO A. GOMEZ

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