10D2066145 CLIA NUMBER - SG PRIMARY CARE MD LLC

Laboratory Demographics

  • CLIA Code: 10D2066145
  • Facility Name: SG PRIMARY CARE MD LLC
  • Facility Address: 8200 SW 117TH AVE STE 316
    MIAMI, FL
    ZIP 33183
  • Facility Phone: 305 274-6422
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SERGIO GARCIA
  • NPI Number: 1548898646
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2066145
LAB Type Physician Office
Facility Name SG PRIMARY CARE MD LLC
Street 8200 SW 117TH AVE STE 316
City MIAMI
State FL
ZIP 33183
Phone 305 274-6422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Physician Office
Lab Director SERGIO GARCIA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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