10D2155633 CLIA NUMBER - JORGE L DIAZ, DO PA

Laboratory Demographics

  • CLIA Code: 10D2155633
  • Facility Name: JORGE L DIAZ, DO PA
  • Facility Address: 7100 W 20TH AVE STE 401 & 803
    HIALEAH, FL
    ZIP 33016
  • Facility Phone: 305 821-6112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE L. DIAZ
  • NPI Number: 1346279809
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2155633
LAB Type Physician Office
Facility Name JORGE L DIAZ, DO PA
Street 7100 W 20TH AVE STE 401 & 803
City HIALEAH
State FL
ZIP 33016
Phone 305 821-6112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director JORGE L. DIAZ

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