10D2096185 CLIA NUMBER - DEBORAH Y COVA MEDICAL CORP

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Laboratory Demographics

CLIA Number: 10D2096185

Facility Name: DEBORAH Y COVA MEDICAL CORP

Facility Address:
12955 BISCAYNE BLVD STE 202
NORTH MIAMI, FL
ZIP 33181
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Facility Phone Number: 305 893-5546

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1013358332

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	10D2096185
LAB Type	Physician Office
Facility Name	DEBORAH Y COVA MEDICAL CORP
Street	12955 BISCAYNE BLVD STE 202
City	NORTH MIAMI
State	FL
ZIP	33181
Phone	305 893-5546
CertificateType	4
CertificateEffectiveDate	5/19/2023
CertificateExpirationDate	5/18/2025
FacilityType	Waiver

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