10D2083918 CLIA NUMBER - LEON MEDICAL RESEARCH

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Laboratory Demographics

CLIA Number: 10D2083918

Facility Name: LEON MEDICAL RESEARCH

Facility Address:
5931 NW 173 DR STE 7
MIAMI, FL
ZIP 33015
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Facility Phone Number: 305 823-4002

Facility Type: Other - MEDICAL CLINIC

Certificate Type: Waiver

NPI Number: 1750828224

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2083918
LAB Type	Other - MEDICAL CLINIC
Facility Name	LEON MEDICAL RESEARCH
Street	5931 NW 173 DR STE 7
City	MIAMI
State	FL
ZIP	33015
Phone	305 823-4002
CertificateType	4
CertificateEffectiveDate	9/16/2022
CertificateExpirationDate	9/15/2024
FacilityType	Waiver

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