10D2077454 CLIA NUMBER - OREX MEDICAL CENTER CORPORATION INC

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Laboratory Demographics

CLIA Number: 10D2077454

Facility Name: OREX MEDICAL CENTER CORPORATION INC

Facility Address:
4980 W 10TH AVE STE 205
HIALEAH, FL
ZIP 33012
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Facility Phone Number: 305 556-4235

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023160991

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2077454
LAB Type	Physician Office
Facility Name	OREX MEDICAL CENTER CORPORATION INC
Street	4980 W 10TH AVE STE 205
City	HIALEAH
State	FL
ZIP	33012
Phone	305 556-4235
CertificateType	4
CertificateEffectiveDate	5/8/2022
CertificateExpirationDate	5/7/2024
FacilityType	Waiver

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