10D2165960 CLIA NUMBER - FIT LIFE PEDIATRIC CONSULTANTS, LLC

Laboratory Demographics

  • CLIA Code: 10D2165960
  • Facility Name: FIT LIFE PEDIATRIC CONSULTANTS, LLC
  • Facility Address: 9020 SW 137TH AVE STE 200
    MIAMI, FL
    ZIP 33186
  • Facility Phone: 305 777-3505
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAMARIS MAFUT
  • NPI Number: 1326587601
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2165960
LAB Type Physician Office
Facility Name FIT LIFE PEDIATRIC CONSULTANTS, LLC
Street 9020 SW 137TH AVE STE 200
City MIAMI
State FL
ZIP 33186
Phone 305 777-3505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director DAMARIS MAFUT

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This page was last updated on: 6/4/2025