10D2067219 CLIA NUMBER - GENESISCARE USA OF FLORIDA, LLC

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Laboratory Demographics

CLIA Number: 10D2067219

Facility Name: GENESISCARE USA OF FLORIDA, LLC

Facility Address:
78 SW 13TH AVE
MIAMI, FL
ZIP 33135
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Facility Phone Number: 239 938-9370

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467820837

Taxonomy: 207RX0202X - Internal Medicine
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

CLIA Record

Field Name	Field Value
CLIA Number	10D2067219
LAB Type	Physician Office
Facility Name	GENESISCARE USA OF FLORIDA, LLC
Street	78 SW 13TH AVE
City	MIAMI
State	FL
ZIP	33135
Phone	239 938-9370
CertificateType	4
CertificateEffectiveDate	10/10/2023
CertificateExpirationDate	10/9/2025
FacilityType	Waiver

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