10D2089293 CLIA NUMBER - NIDAL B RADWAN MD PA

Laboratory Demographics

  • CLIA Code: 10D2089293
  • Facility Name: NIDAL B RADWAN MD PA
  • Facility Address: 18100 NE 19TH AVE STE 102
    NORTH MIAMI BEACH, FL
    ZIP 33162
  • Facility Phone: 305 948-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIDAL B. RADWAN
  • NPI Number: 1902856875
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2089293
LAB Type Physician Office
Facility Name NIDAL B RADWAN MD PA
Street 18100 NE 19TH AVE STE 102
City NORTH MIAMI BEACH
State FL
ZIP 33162
Phone 305 948-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Physician Office
Lab Director NIDAL B. RADWAN

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