10D2190742 CLIA NUMBER - DAVILA MEDICAL CENTER, INC

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Laboratory Demographics

CLIA Number: 10D2190742

Facility Name: DAVILA MEDICAL CENTER, INC

Facility Address:
13270 SW 8TH ST
MIAMI, FL
ZIP 33183
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Facility Phone Number: 305 441-2760

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1902113939

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	10D2190742
LAB Type	Physician Office
Facility Name	DAVILA MEDICAL CENTER, INC
Street	13270 SW 8TH ST
City	MIAMI
State	FL
ZIP	33183
Phone	305 441-2760
CertificateType	4
CertificateEffectiveDate	8/19/2022
CertificateExpirationDate	8/18/2024
FacilityType	Waiver

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