10D2119825 CLIA NUMBER - SAN LAZARO MEDICAL GROUP INC

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Laboratory Demographics

CLIA Number: 10D2119825

Facility Name: SAN LAZARO MEDICAL GROUP INC

Facility Address:
3271 NW 7TH STREET, SUITE 211
MIAMI, FL
ZIP 33125
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Facility Phone Number: 786 294-0442

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790231728

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D2119825
LAB Type	Physician Office
Facility Name	SAN LAZARO MEDICAL GROUP INC
Street	3271 NW 7TH STREET, SUITE 211
City	MIAMI
State	FL
ZIP	33125
Phone	786 294-0442
CertificateType	4
CertificateEffectiveDate	10/4/2022
CertificateExpirationDate	10/3/2024
FacilityType	Waiver

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