10D2059610 CLIA NUMBER - CLINIC CENTER INC

Laboratory Demographics

  • CLIA Code: 10D2059610
  • Facility Name: CLINIC CENTER INC
  • Facility Address: 3800 W 12TH AVE
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 305 557-7777
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JUAN A. ENRIQUEZ
  • NPI Number: 1174555411
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JUAN A. ENRIQUEZ

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