10D2174327 CLIA NUMBER - EASTERN MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 10D2174327
  • Facility Name: EASTERN MEDICAL CENTER
  • Facility Address: 8900 CORAL WAY STE 209
    MIAMI, FL
    ZIP 33165
  • Facility Phone: 786 266-7551
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTIAN S. DOMINGUEZ
  • NPI Number: 1093241465
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2174327
LAB Type Physician Office
Facility Name EASTERN MEDICAL CENTER
Street 8900 CORAL WAY STE 209
City MIAMI
State FL
ZIP 33165
Phone 786 266-7551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Physician Office
Lab Director CHRISTIAN S. DOMINGUEZ

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