10D2106098 CLIA NUMBER - A MED PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 10D2106098
  • Facility Name: A MED PRACTICE LLC
  • Facility Address: 4055 NW 97TH AVENUE, SUITE 101
    DORAL, FL
    ZIP 33178
  • Facility Phone: 786 801-1168
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMILIO CASTANEDA
  • NPI Number: 1114387321
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2106098
LAB Type Physician Office
Facility Name A MED PRACTICE LLC
Street 4055 NW 97TH AVENUE, SUITE 101
City DORAL
State FL
ZIP 33178
Phone 786 801-1168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director EMILIO CASTANEDA

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