10D2149998 CLIA NUMBER - EDEN MEDICAL CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D2149998
  • Facility Name: EDEN MEDICAL CENTER, LLC
  • Facility Address: 8302 NW 103RD ST #201
    HIALEAH GARDENS, FL
    ZIP 33016
  • Facility Phone: 786 374-9928
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GILBERTO PEREZ
  • NPI Number: 1144710146
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2149998
LAB Type Physician Office
Facility Name EDEN MEDICAL CENTER, LLC
Street 8302 NW 103RD ST #201
City HIALEAH GARDENS
State FL
ZIP 33016
Phone 786 374-9928
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Physician Office
Lab Director GILBERTO PEREZ

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