10D2093601 CLIA NUMBER - CANO HEALTH, LLC DBA DOCTORS MEDICAL PEDIATRICS

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Laboratory Demographics

CLIA Number: 10D2093601

Facility Name: CANO HEALTH, LLC DBA DOCTORS MEDICAL PEDIATRICS

Facility Address:
690 E 49TH ST
HIALEAH, FL
ZIP 33013
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Facility Phone Number: 786 351-4493

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942940622

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2093601
LAB Type	Physician Office
Facility Name	CANO HEALTH, LLC DBA DOCTORS MEDICAL PEDIATRICS
Street	690 E 49TH ST
City	HIALEAH
State	FL
ZIP	33013
Phone	786 351-4493
CertificateType	4
CertificateEffectiveDate	3/31/2023
CertificateExpirationDate	3/30/2025
FacilityType	Waiver

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