10D2042765 CLIA NUMBER - ISIDRO LOPEZ MD

Laboratory Demographics

  • CLIA Code: 10D2042765
  • Facility Name: ISIDRO LOPEZ MD
  • Facility Address: 1495 NW 20 ST
    MIAMI, FL
    ZIP 33142
  • Facility Phone: 305 248-1288
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISIDRO LOPEZ
  • NPI Number: 1508829581
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2042765
LAB Type Physician Office
Facility Name ISIDRO LOPEZ MD
Street 1495 NW 20 ST
City MIAMI
State FL
ZIP 33142
Phone 305 248-1288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director ISIDRO LOPEZ

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