10D2117825 CLIA NUMBER - INTERLAB CORP

Laboratory Demographics

CLIA Number: 10D2117825

Facility Name: INTERLAB CORP

Facility Address:
9000 NW 15TH ST UNIT 1A
DORAL, FL
ZIP 33172
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Facility Phone Number: 305 267-7372

Facility Type: Independent

Certificate Type: Accreditation

NPI Number: 1285262386

Taxonomy: 261QR1100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2117825
LAB Type	Independent
Facility Name	INTERLAB CORP
Street	9000 NW 15TH ST UNIT 1A
City	DORAL
State	FL
ZIP	33172
Phone	305 267-7372
CertificateType	1
CertificateEffectiveDate	6/15/2022
CertificateExpirationDate	6/14/2024
FacilityType	Accreditation

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