10D2125021 CLIA NUMBER - ADVANCE MD CARE

Laboratory Demographics

CLIA Number: 10D2125021

Facility Name: ADVANCE MD CARE

Facility Address:
294 WESTWARD DR
MIAMI SPRINGS, FL
ZIP 33166
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Facility Phone Number: 305 363-2762

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396795324

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2125021
LAB Type	Physician Office
Facility Name	ADVANCE MD CARE
Street	294 WESTWARD DR
City	MIAMI SPRINGS
State	FL
ZIP	33166
Phone	305 363-2762
CertificateType	4
CertificateEffectiveDate	1/31/2023
CertificateExpirationDate	1/30/2025
FacilityType	Waiver

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