10D2046481 CLIA NUMBER - MIAMI CHILDRENS HEALTH SYSTEM NICKLAUS CHILDRENS DAN MARINO OUTPATIENT CENTER

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Laboratory Demographics

CLIA Number: 10D2046481

Facility Name: MIAMI CHILDRENS HEALTH SYSTEM NICKLAUS CHILDRENS DAN MARINO OUTPATIENT CENTER

Facility Address:
2900 S COMMERCE PKWY
WESTON, FL
ZIP 33331
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Facility Phone Number: 305 666-6511

Facility Type: Other - URGENT CARE CENTER

Certificate Type: Waiver

NPI Number: 1972545879

Taxonomy: 1223P0221X - Dentist
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

CLIA Record

Field Name	Field Value
CLIA Number	10D2046481
LAB Type	Other - URGENT CARE CENTER
Facility Name	MIAMI CHILDRENS HEALTH SYSTEM NICKLAUS CHILDRENS DAN MARINO OUTPATIENT CENTER
Street	2900 S COMMERCE PKWY
City	WESTON
State	FL
ZIP	33331
Phone	305 666-6511
CertificateType	4
CertificateEffectiveDate	9/5/2022
CertificateExpirationDate	9/4/2024
FacilityType	Waiver

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