10D2042665 CLIA NUMBER - PRESTIGE CLINICAL RESEARCH CENTER INC

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Laboratory Demographics

CLIA Number: 10D2042665

Facility Name: PRESTIGE CLINICAL RESEARCH CENTER INC

Facility Address:
555 BILTMORE WAY STE 205
CORAL GABLES, FL
ZIP 33134
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Facility Phone Number: 305 907-6960

Facility Type: Other - CLINICAL RESEARCH

Certificate Type: Waiver

NPI Number: 1609257013

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2042665
LAB Type	Other - CLINICAL RESEARCH
Facility Name	PRESTIGE CLINICAL RESEARCH CENTER INC
Street	555 BILTMORE WAY STE 205
City	CORAL GABLES
State	FL
ZIP	33134
Phone	305 907-6960
CertificateType	4
CertificateEffectiveDate	6/18/2022
CertificateExpirationDate	6/17/2024
FacilityType	Waiver

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