10D2192269 CLIA NUMBER - ESTRELLA MEDICAL SERVICES, INC

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Laboratory Demographics

CLIA Number: 10D2192269

Facility Name: ESTRELLA MEDICAL SERVICES, INC

Facility Address:
4795 WEST FLAGLER STREET
CORAL GABLES, FL
ZIP 33134
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Facility Phone Number: 305 982-8810

Facility Type: Other - MEDICAL CENTER

Certificate Type: Waiver

NPI Number: 1851341002

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2192269
LAB Type	Other - MEDICAL CENTER
Facility Name	ESTRELLA MEDICAL SERVICES, INC
Street	4795 WEST FLAGLER STREET
City	CORAL GABLES
State	FL
ZIP	33134
Phone	305 982-8810
CertificateType	4
CertificateEffectiveDate	9/8/2022
CertificateExpirationDate	9/7/2024
FacilityType	Waiver

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