10D2183917 CLIA NUMBER - EZY MEDICAL RESEARCH CO

Laboratory Demographics

  • CLIA Code: 10D2183917
  • Facility Name: EZY MEDICAL RESEARCH CO
  • Facility Address: 11760 SW 40 ST STE 416
    MIAMI, FL
    ZIP 33175
  • Facility Phone: 786 483-8162
  • Facility Type: Other - RESEARCH CENTER
  • Facility Type: Waiver
  • Lab Director: PRISCILLA HERNANDEZ
  • NPI Number: 1174119226
  • Taxonomy: 261QR1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2183917
LAB Type Other - RESEARCH CENTER
Facility Name EZY MEDICAL RESEARCH CO
Street 11760 SW 40 ST STE 416
City MIAMI
State FL
ZIP 33175
Phone 786 483-8162
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 Other - RESEARCH CENTER
Lab Director PRISCILLA HERNANDEZ

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