10D2132697 CLIA NUMBER - ATLANTIC MEN'S CLINIC MIAMI LLC

Laboratory Demographics

CLIA Number: 10D2132697

Facility Name: ATLANTIC MEN'S CLINIC MIAMI LLC

Facility Address:
2600 DOUGLAS ROAD SUITE #604
CORAL GABLES, FL
ZIP 33134
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Facility Phone Number: 786 361-0151

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1447407184

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	10D2132697
LAB Type	Physician Office
Facility Name	ATLANTIC MEN'S CLINIC MIAMI LLC
Street	2600 DOUGLAS ROAD SUITE #604
City	CORAL GABLES
State	FL
ZIP	33134
Phone	786 361-0151
CertificateType	2
CertificateEffectiveDate	8/25/2023
CertificateExpirationDate	8/24/2025
FacilityType	Compliance

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