10D2127303 CLIA NUMBER - EL ENCANTO MEDICAL CENTERS INC

Laboratory Demographics

CLIA Number: 10D2127303

Facility Name: EL ENCANTO MEDICAL CENTERS INC

Facility Address:
255 UNIVERSITY DRIVE
CORAL GABLES, FL
ZIP 33134
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Facility Phone Number: 305 362-2686

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1922548775

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	10D2127303
LAB Type	Physician Office
Facility Name	EL ENCANTO MEDICAL CENTERS INC
Street	255 UNIVERSITY DRIVE
City	CORAL GABLES
State	FL
ZIP	33134
Phone	305 362-2686
CertificateType	4
CertificateEffectiveDate	3/13/2023
CertificateExpirationDate	3/12/2025
FacilityType	Waiver

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