10D2106884 CLIA NUMBER - PABLO GUALA MD

Laboratory Demographics

  • CLIA Code: 10D2106884
  • Facility Name: PABLO GUALA MD
  • Facility Address: 4811 W 4TH AVE
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 305 822-0068
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PABLO GUALA
  • NPI Number: 1407953482
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2106884
LAB Type Physician Office
Facility Name PABLO GUALA MD
Street 4811 W 4TH AVE
City HIALEAH
State FL
ZIP 33012
Phone 305 822-0068
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Physician Office
Lab Director PABLO GUALA

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