10D2171488 CLIA NUMBER - SOS MEDICAL CENTER CORP DBA CIMA MEDICAL CENTER

Laboratory Demographics

CLIA Number: 10D2171488

Facility Name: SOS MEDICAL CENTER CORP DBA CIMA MEDICAL CENTER

Facility Address:
6445 SW 8TH ST
WEST MIAMI, FL
ZIP 33144
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Facility Phone Number: 305 603-7449

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114497492

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	10D2171488
LAB Type	Physician Office
Facility Name	SOS MEDICAL CENTER CORP DBA CIMA MEDICAL CENTER
Street	6445 SW 8TH ST
City	WEST MIAMI
State	FL
ZIP	33144
Phone	305 603-7449
CertificateType	4
CertificateEffectiveDate	9/3/2023
CertificateExpirationDate	9/2/2025
FacilityType	Waiver

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