10D2131936 CLIA NUMBER - VIDA MEDICAL CENTERS OF SWEETWATER CORP

Laboratory Demographics

  • CLIA Code: 10D2131936
  • Facility Name: VIDA MEDICAL CENTERS OF SWEETWATER CORP
  • Facility Address: 10920 W FLAGLER STREET STE 201
    MIAMI, FL
    ZIP 33174
  • Facility Phone: 786 623-3915
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDY LOPEZ
  • NPI Number: 1588294607
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2131936
LAB Type Physician Office
Facility Name VIDA MEDICAL CENTERS OF SWEETWATER CORP
Street 10920 W FLAGLER STREET STE 201
City MIAMI
State FL
ZIP 33174
Phone 786 623-3915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Physician Office
Lab Director SANDY LOPEZ

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This page was last updated on: 9/29/2025