10D2095538 CLIA NUMBER - SOL PEDIATRICS LLC

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Laboratory Demographics

CLIA Number: 10D2095538

Facility Name: SOL PEDIATRICS LLC

Facility Address:
6500 W 4TH AVE STE 13
HIALEAH, FL
ZIP 33012
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Facility Phone Number: 786 615-4868

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326455387

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2095538
LAB Type	Physician Office
Facility Name	SOL PEDIATRICS LLC
Street	6500 W 4TH AVE STE 13
City	HIALEAH
State	FL
ZIP	33012
Phone	786 615-4868
CertificateType	4
CertificateEffectiveDate	5/7/2023
CertificateExpirationDate	5/6/2025
FacilityType	Waiver

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