10D2115059 CLIA NUMBER - SOUTH MIAMI HEALTH PROFESSIONALS INC

Laboratory Demographics

CLIA Number: 10D2115059

Facility Name: SOUTH MIAMI HEALTH PROFESSIONALS INC

Facility Address:
8300 SW 8TH ST STE 303
MIAMI, FL
ZIP 33144
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Facility Phone Number: 786 717-5516

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255318333

Taxonomy: 261QR0401X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2115059
LAB Type	Physician Office
Facility Name	SOUTH MIAMI HEALTH PROFESSIONALS INC
Street	8300 SW 8TH ST STE 303
City	MIAMI
State	FL
ZIP	33144
Phone	786 717-5516
CertificateType	4
CertificateEffectiveDate	6/27/2022
CertificateExpirationDate	6/26/2024
FacilityType	Waiver

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