10D2184486 CLIA NUMBER - BENITEZ ANIA MD PA

Laboratory Demographics

CLIA Number: 10D2184486

Facility Name: BENITEZ ANIA MD PA

Facility Address:
3750 W 16TH AVE STE 110
HIALEAH, FL
ZIP 33012
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Facility Phone Number: 305 558-3220

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1366868416

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2184486
LAB Type	Physician Office
Facility Name	BENITEZ ANIA MD PA
Street	3750 W 16TH AVE STE 110
City	HIALEAH
State	FL
ZIP	33012
Phone	305 558-3220
CertificateType	4
CertificateEffectiveDate	5/20/2022
CertificateExpirationDate	5/19/2024
FacilityType	Waiver

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