10D2028817 CLIA NUMBER - GASTRO HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2028817
  • Facility Name: GASTRO HEALTH LLC
  • Facility Address: 12485 SW 137TH AVE STE 103
    MIAMI, FL
    ZIP 33186
  • Facility Phone: 305 468-4194
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. RAJA M. GIDWANI
  • NPI Number: 1720754740
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2028817
LAB Type Physician Office
Facility Name GASTRO HEALTH LLC
Street 12485 SW 137TH AVE STE 103
City MIAMI
State FL
ZIP 33186
Phone 305 468-4194
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 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director DR. RAJA M. GIDWANI

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