10D2165961 CLIA NUMBER - LINA ECHAVARRIA MD, LLC

Laboratory Demographics

CLIA Number: 10D2165961

Facility Name: LINA ECHAVARRIA MD, LLC

Facility Address:
1951 SW 172ND AVE STE 412
MIRAMAR, FL
ZIP 33029
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Facility Phone Number: 954 702-4232

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1376777037

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D2165961
LAB Type	Physician Office
Facility Name	LINA ECHAVARRIA MD, LLC
Street	1951 SW 172ND AVE STE 412
City	MIRAMAR
State	FL
ZIP	33029
Phone	954 702-4232
CertificateType	4
CertificateEffectiveDate	5/8/2023
CertificateExpirationDate	5/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024