10D2125974 CLIA NUMBER - MED-LIFE MEDICAL CENTER

Laboratory Demographics

CLIA Number: 10D2125974

Facility Name: MED-LIFE MEDICAL CENTER

Facility Address:
801 NW 37 AVE, STE 207-210
MIAMI, FL
ZIP 33125
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Facility Phone Number: 786 953-7482

Facility Type: Other - MEDICAL OFFICE

Certificate Type: Waiver

NPI Number: 1821534918

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2125974
LAB Type	Other - MEDICAL OFFICE
Facility Name	MED-LIFE MEDICAL CENTER
Street	801 NW 37 AVE, STE 207-210
City	MIAMI
State	FL
ZIP	33125
Phone	786 953-7482
CertificateType	4
CertificateEffectiveDate	2/16/2023
CertificateExpirationDate	2/15/2025
FacilityType	Waiver

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