10D2183911 CLIA NUMBER - ANUPAM K MOHANTY, MD LLC

Laboratory Demographics

  • CLIA Code: 10D2183911
  • Facility Name: ANUPAM K MOHANTY, MD LLC
  • Facility Address: 2520 S DIXIE HWY
    MIAMI, FL
    ZIP 33133
  • Facility Phone: 786 648-7200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANUPAM K. MOHANTY
  • NPI Number: 1578743381
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2183911
LAB Type Physician Office
Facility Name ANUPAM K MOHANTY, MD LLC
Street 2520 S DIXIE HWY
City MIAMI
State FL
ZIP 33133
Phone 786 648-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director ANUPAM K. MOHANTY

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