10D2054251 CLIA NUMBER - LEE A GIBSTEIN MD

Laboratory Demographics

  • CLIA Code: 10D2054251
  • Facility Name: LEE A GIBSTEIN MD
  • Facility Address: 1166 KANE CONCOURSE 3RD FL
    BAY HARBOR ISLANDS, FL
    ZIP 33154
  • Facility Phone: 305 865-2802
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LEE A. GIBSTEIN
  • NPI Number: 1851489066
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2054251
LAB Type Physician Office
Facility Name LEE A GIBSTEIN MD
Street 1166 KANE CONCOURSE 3RD FL
City BAY HARBOR ISLANDS
State FL
ZIP 33154
Phone 305 865-2802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director DR. LEE A. GIBSTEIN

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