10D2139204 CLIA NUMBER - BAPTIST HEALTH EXPRESS CARE AT COUNTRY WALK

Laboratory Demographics

  • CLIA Code: 10D2139204
  • Facility Name: BAPTIST HEALTH EXPRESS CARE AT COUNTRY WALK
  • Facility Address: 15721 SW 152 STREET
    MIAMI, FL
    ZIP 33187
  • Facility Phone: 786 595-8250
  • Facility Type: Other - EXPRESS CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: WILLIAM B. RICARD
  • NPI Number: 1740791334
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D2139204
LAB Type Other - EXPRESS CARE CLINIC
Facility Name BAPTIST HEALTH EXPRESS CARE AT COUNTRY WALK
Street 15721 SW 152 STREET
City MIAMI
State FL
ZIP 33187
Phone 786 595-8250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Other - EXPRESS CARE CLINIC
Lab Director WILLIAM B. RICARD

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