10D2074975 CLIA NUMBER - JOSE I PRADERE MD

Laboratory Demographics

  • CLIA Code: 10D2074975
  • Facility Name: JOSE I PRADERE MD
  • Facility Address: 815 NW 57 AVE STE 110
    MIAMI, FL
    ZIP 33126
  • Facility Phone: 305 856-6371
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE I. PRADERE
  • NPI Number: 1639187040
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2074975
LAB Type Physician Office
Facility Name JOSE I PRADERE MD
Street 815 NW 57 AVE STE 110
City MIAMI
State FL
ZIP 33126
Phone 305 856-6371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Physician Office
Lab Director JOSE I. PRADERE

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This page was last updated on: 6/4/2025