10D2141299 CLIA NUMBER - ODALYS P FRONTELA MD PA

Laboratory Demographics

  • CLIA Code: 10D2141299
  • Facility Name: ODALYS P FRONTELA MD PA
  • Facility Address: 801 W 48 ST STE A
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 305 698-7172
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ODALYS P. FRONTELA
  • NPI Number: 1639102700
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2141299
LAB Type Physician Office
Facility Name ODALYS P FRONTELA MD PA
Street 801 W 48 ST STE A
City HIALEAH
State FL
ZIP 33012
Phone 305 698-7172
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director ODALYS P. FRONTELA

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