10D2076862 CLIA NUMBER - OMAR BENITEZ MD PA

Laboratory Demographics

  • CLIA Code: 10D2076862
  • Facility Name: OMAR BENITEZ MD PA
  • Facility Address: 2141 SW 1ST #107
    MIAMI, FL
    ZIP 33135
  • Facility Phone: 305 649-3336
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR BENITEZ
  • NPI Number: 1699931782
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2076862
LAB Type Physician Office
Facility Name OMAR BENITEZ MD PA
Street 2141 SW 1ST #107
City MIAMI
State FL
ZIP 33135
Phone 305 649-3336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Physician Office
Lab Director OMAR BENITEZ

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