10D2129303 CLIA NUMBER - COMMUNITY HEALTH & WELLNESS CTR OF MIAMI, N

Laboratory Demographics

CLIA Number: 10D2129303

Facility Name: COMMUNITY HEALTH & WELLNESS CTR OF MIAMI, N

Facility Address:
1671 WEST 37 ST STE 4
HIALEAH, FL
ZIP 33012
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Facility Phone Number: 305 541-5246

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1699796540

Taxonomy: 261QR0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2129303
LAB Type	Community Clinic
Facility Name	COMMUNITY HEALTH & WELLNESS CTR OF MIAMI, N
Street	1671 WEST 37 ST STE 4
City	HIALEAH
State	FL
ZIP	33012
Phone	305 541-5246
CertificateType	4
CertificateEffectiveDate	4/18/2023
CertificateExpirationDate	4/17/2025
FacilityType	Waiver

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