10D2097279 CLIA NUMBER - MAGNOLIA BIRTH HOUSE

Laboratory Demographics

  • CLIA Code: 10D2097279
  • Facility Name: MAGNOLIA BIRTH HOUSE
  • Facility Address: 16821 NE 6TH AVE
    NORTH MIAMI BEACH, FL
    ZIP 33162
  • Facility Phone: 786 953-6534
  • Facility Type: Other - BIRTHING CENTER
  • Facility Type: Waiver
  • Lab Director: TAMARA TAITT
  • NPI Number: 1427418425
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2097279
LAB Type Other - BIRTHING CENTER
Facility Name MAGNOLIA BIRTH HOUSE
Street 16821 NE 6TH AVE
City NORTH MIAMI BEACH
State FL
ZIP 33162
Phone 786 953-6534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Other - BIRTHING CENTER
Lab Director TAMARA TAITT

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