10D2095114 CLIA NUMBER - RICARDO O CALONGE MD PA

Laboratory Demographics

  • CLIA Code: 10D2095114
  • Facility Name: RICARDO O CALONGE MD PA
  • Facility Address: 3661 S MIAMI AVE MERCY PROFESSIONAL BLDG STE 401
    MIAMI, FL
    ZIP 33133
  • Facility Phone: 305 856-9771
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICARDO O. CALONGE
  • NPI Number: 1992795900
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2095114
LAB Type Physician Office
Facility Name RICARDO O CALONGE MD PA
Street 3661 S MIAMI AVE MERCY PROFESSIONAL BLDG STE 401
City MIAMI
State FL
ZIP 33133
Phone 305 856-9771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director RICARDO O. CALONGE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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