10D2167487 CLIA NUMBER - UNIVERSITY OF MIAMI

Laboratory Demographics

CLIA Number: 10D2167487

Facility Name: UNIVERSITY OF MIAMI

Facility Address:
ANTICOAGULATION CLINIC ATTN LUIS JIMENEZ 5555 PONCE DE LEON BLVD ROOM 226
CORAL GABLES, FL
ZIP 33146
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Facility Phone Number: 305 689-0378

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134402696

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2167487
LAB Type	Physician Office
Facility Name	UNIVERSITY OF MIAMI
Street	ANTICOAGULATION CLINIC ATTN LUIS JIMENEZ 5555 PONCE DE LEON BLVD ROOM 226
City	CORAL GABLES
State	FL
ZIP	33146
Phone	305 689-0378
CertificateType	4
CertificateEffectiveDate	6/10/2023
CertificateExpirationDate	6/9/2025
FacilityType	Waiver

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