10D2081806 CLIA NUMBER - CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA SENIOR PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2081806
  • Facility Name: CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA SENIOR PRIMARY CARE
  • Facility Address: 7500 SW 8 ST
    MIAMI, FL
    ZIP 33144
  • Facility Phone: 305 265-9686
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE C. PEREZ
  • NPI Number: 1003865213
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2081806
LAB Type Physician Office
Facility Name CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA SENIOR PRIMARY CARE
Street 7500 SW 8 ST
City MIAMI
State FL
ZIP 33144
Phone 305 265-9686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director JORGE C. PEREZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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