10D2086822 CLIA NUMBER - MARISCAL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D2086822
  • Facility Name: MARISCAL PEDIATRICS
  • Facility Address: 12991 SW 112 ST
    MIAMI, FL
    ZIP 33186
  • Facility Phone: 786 703-8174
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LIUSKA MARISCAL
  • NPI Number: 1073924981
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2086822
LAB Type Physician Office
Facility Name MARISCAL PEDIATRICS
Street 12991 SW 112 ST
City MIAMI
State FL
ZIP 33186
Phone 786 703-8174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director LIUSKA MARISCAL

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