10D2177727 CLIA NUMBER - CENTRUM MEDICAL CENTER - EAST HIALEAH LLC

Laboratory Demographics

  • CLIA Code: 10D2177727
  • Facility Name: CENTRUM MEDICAL CENTER - EAST HIALEAH LLC
  • Facility Address: 4218 E 4TH AVE
    HIALEAH, FL
    ZIP 33013
  • Facility Phone: 305 266-2929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANUEL M. LAM
  • NPI Number: 1083250062
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2177727
LAB Type Physician Office
Facility Name CENTRUM MEDICAL CENTER - EAST HIALEAH LLC
Street 4218 E 4TH AVE
City HIALEAH
State FL
ZIP 33013
Phone 305 266-2929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director MANUEL M. LAM

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