10D2049198 CLIA NUMBER - CANO HEALTH LLC DBA DOCTORS MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 10D2049198

Facility Name: CANO HEALTH LLC DBA DOCTORS MEDICAL CENTER

Facility Address:
2901 NW 17TH AVE
MIAMI, FL
ZIP 33142
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Facility Phone Number: 954 514-9360

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386300440

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	10D2049198
LAB Type	Physician Office
Facility Name	CANO HEALTH LLC DBA DOCTORS MEDICAL CENTER
Street	2901 NW 17TH AVE
City	MIAMI
State	FL
ZIP	33142
Phone	954 514-9360
CertificateType	4
CertificateEffectiveDate	11/1/2022
CertificateExpirationDate	10/31/2024
FacilityType	Waiver

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