10D2038356 CLIA NUMBER - MIAMI COMMUNITY HEALTH CENTER INC

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Laboratory Demographics

CLIA Number: 10D2038356

Facility Name: MIAMI COMMUNITY HEALTH CENTER INC

Facility Address:
891-893 E 10TH AVE
HIALEAH, FL
ZIP 33010
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Facility Phone Number: 786 216-5570

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1376127621

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2038356
LAB Type	Physician Office
Facility Name	MIAMI COMMUNITY HEALTH CENTER INC
Street	891-893 E 10TH AVE
City	HIALEAH
State	FL
ZIP	33010
Phone	786 216-5570
CertificateType	4
CertificateEffectiveDate	3/20/2024
CertificateExpirationDate	3/19/2026
FacilityType	Waiver

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