10D2112633 CLIA NUMBER - JAPH MEDICAL GROUP INC HIALEAH OFFICE

Laboratory Demographics

CLIA Number: 10D2112633

Facility Name: JAPH MEDICAL GROUP INC HIALEAH OFFICE

Facility Address:
7600 W 20TH AVE STE 112
HIALEAH, FL
ZIP 33016
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Facility Phone Number: 305 557-0000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710338454

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	10D2112633
LAB Type	Physician Office
Facility Name	JAPH MEDICAL GROUP INC HIALEAH OFFICE
Street	7600 W 20TH AVE STE 112
City	HIALEAH
State	FL
ZIP	33016
Phone	305 557-0000
CertificateType	4
CertificateEffectiveDate	5/4/2024
CertificateExpirationDate	5/3/2026
FacilityType	Waiver

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