10D2069198 CLIA NUMBER - ANDRES BUSTILLO MD FACS

Laboratory Demographics

  • CLIA Code: 10D2069198
  • Facility Name: ANDRES BUSTILLO MD FACS
  • Facility Address: 6705 RED RD STE 602
    CORAL GABLES, FL
    ZIP 33143
  • Facility Phone: 305 663-3380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDRES BUSTILLO
  • NPI Number: 1275527749
  • Taxonomy: 207YS0123X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 10D2069198
LAB Type Physician Office
Facility Name ANDRES BUSTILLO MD FACS
Street 6705 RED RD STE 602
City CORAL GABLES
State FL
ZIP 33143
Phone 305 663-3380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Physician Office
Lab Director ANDRES BUSTILLO

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