10D2189941 CLIA NUMBER - MIGUEL REBOLLAR MD PA

Laboratory Demographics

  • CLIA Code: 10D2189941
  • Facility Name: MIGUEL REBOLLAR MD PA
  • Facility Address: 1435 W 49 PL #201
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 305 828-4155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIGUEL A. REBOLLAR
  • NPI Number: 1831108729
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2189941
LAB Type Physician Office
Facility Name MIGUEL REBOLLAR MD PA
Street 1435 W 49 PL #201
City HIALEAH
State FL
ZIP 33012
Phone 305 828-4155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Physician Office
Lab Director MIGUEL A. REBOLLAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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