10D2073940 CLIA NUMBER - WEST DADE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D2073940
  • Facility Name: WEST DADE PEDIATRICS
  • Facility Address: 7150 W 20 AVE, STE 205
    HIALEAH, FL
    ZIP 33016
  • Facility Phone: 305 551-1195
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIO EGUSQUIZA
  • NPI Number: 1902973464
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2073940
LAB Type Physician Office
Facility Name WEST DADE PEDIATRICS
Street 7150 W 20 AVE, STE 205
City HIALEAH
State FL
ZIP 33016
Phone 305 551-1195
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Physician Office
Lab Director JULIO EGUSQUIZA

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