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10D2059610 CLIA NUMBER - CLINIC CENTER INC

Laboratory Demographics

CLIA Number: 10D2059610

Facility Name: CLINIC CENTER INC

Facility Address:
3800 W 12TH AVE
HIALEAH, FL
ZIP 33012
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Facility Phone Number: 305 557-7777

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver
NPI Number: 1174555411

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 10D2059610
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CLINIC CENTER INC
Street 3800 W 12TH AVE
City HIALEAH
State FL
ZIP 33012
Phone 305 557-7777
CertificateType 4
CertificateEffectiveDate 5/28/2023
CertificateExpirationDate 5/27/2025
FacilityType Waiver

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