10D2150479 CLIA NUMBER - MIDWAY SPECIALTY CARE CENTER, INC

Laboratory Demographics

  • CLIA Code: 10D2150479
  • Facility Name: MIDWAY SPECIALTY CARE CENTER, INC
  • Facility Address: 2608 NE 16TH AVE
    WILTON MANORS, FL
    ZIP 33334
  • Facility Phone: 772 742-9276
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOAO RODRIGUES
  • NPI Number: 1114516523
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2150479
LAB Type Physician Office
Facility Name MIDWAY SPECIALTY CARE CENTER, INC
Street 2608 NE 16TH AVE
City WILTON MANORS
State FL
ZIP 33334
Phone 772 742-9276
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Physician Office
Lab Director JOAO RODRIGUES

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