10D2142402 CLIA NUMBER - PSA PEDIATRIC NEPHROLOGY

Laboratory Demographics

  • CLIA Code: 10D2142402
  • Facility Name: PSA PEDIATRIC NEPHROLOGY
  • Facility Address: 3100 SW 62 AVENUE
    MIAMI, FL
    ZIP 33155
  • Facility Phone: 786 624-1139
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FELIX RAMIREZ-SEIJAS
  • NPI Number: 1477913465
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2142402
LAB Type Physician Office
Facility Name PSA PEDIATRIC NEPHROLOGY
Street 3100 SW 62 AVENUE
City MIAMI
State FL
ZIP 33155
Phone 786 624-1139
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director FELIX RAMIREZ-SEIJAS

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