10D2056361 CLIA NUMBER - IVETTE VALLE MD

Laboratory Demographics

  • CLIA Code: 10D2056361
  • Facility Name: IVETTE VALLE MD
  • Facility Address: 1435 W 49TH PLACE STE 400A
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 305 818-5637
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTOR B. PATEL
  • NPI Number: 1831197623
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2056361
LAB Type Physician Office
Facility Name IVETTE VALLE MD
Street 1435 W 49TH PLACE STE 400A
City HIALEAH
State FL
ZIP 33012
Phone 305 818-5637
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director VICTOR B. PATEL

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