10D2065847 CLIA NUMBER - ADVANCED GASTROENTEROLOGY OF SOUTH FLORIDA PA

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Laboratory Demographics

CLIA Number: 10D2065847

Facility Name: ADVANCED GASTROENTEROLOGY OF SOUTH FLORIDA PA

Facility Address:
7100 W 20 AVE STE 105
HIALEAH, FL
ZIP 33016
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Facility Phone Number: (305) 536-3727

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1659646974

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2065847
LAB Type	PHYSICIAN OFFICE
Facility Name	ADVANCED GASTROENTEROLOGY OF SOUTH FLORIDA PA
Street	7100 W 20 AVE STE 105
City	HIALEAH
State	FL
ZIP	33016
Phone	(305) 536-3727

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This page was last updated on: 5/11/2023