10D2093206 CLIA NUMBER - CLINICA LAS MERCEDES III INC

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Laboratory Demographics

CLIA Number: 10D2093206

Facility Name: CLINICA LAS MERCEDES III INC

Facility Address:
2750 W 68 ST STE 127-128
HIALEAH, FL
ZIP 33016
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Facility Phone Number: 305 456-7621

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1558877308

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2093206
LAB Type	Physician Office
Facility Name	CLINICA LAS MERCEDES III INC
Street	2750 W 68 ST STE 127-128
City	HIALEAH
State	FL
ZIP	33016
Phone	305 456-7621
CertificateType	4
CertificateEffectiveDate	3/23/2023
CertificateExpirationDate	3/22/2025
FacilityType	Waiver

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