10D2043212 CLIA NUMBER - CORAL GABLES EXECUTIVE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 10D2043212
  • Facility Name: CORAL GABLES EXECUTIVE PHYSICIANS
  • Facility Address: 800 S DOUGLAS RD STE 125
    CORAL GABLES, FL
    ZIP 33134
  • Facility Phone: 305 446-9940
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT THOMAS
  • NPI Number: 1962698522
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2043212
LAB Type Physician Office
Facility Name CORAL GABLES EXECUTIVE PHYSICIANS
Street 800 S DOUGLAS RD STE 125
City CORAL GABLES
State FL
ZIP 33134
Phone 305 446-9940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director ROBERT THOMAS

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