10D2128852 CLIA NUMBER - MARIN FOOT AND ANKLE CENTER, PA

Laboratory Demographics

CLIA Number: 10D2128852

Facility Name: MARIN FOOT AND ANKLE CENTER, PA

Facility Address:
3410 WEST 84TH STREET STE 100
HIALEAH, FL
ZIP 33018
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Facility Phone Number: 305 826-7774

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1700812260

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name	Field Value
CLIA Number	10D2128852
LAB Type	Ambulatory Surgery Center
Facility Name	MARIN FOOT AND ANKLE CENTER, PA
Street	3410 WEST 84TH STREET STE 100
City	HIALEAH
State	FL
ZIP	33018
Phone	305 826-7774
CertificateType	4
CertificateEffectiveDate	4/10/2023
CertificateExpirationDate	4/9/2025
FacilityType	Waiver

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