10D2193565 CLIA NUMBER - DELUXE HEALTH CENTER, LLC

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Laboratory Demographics

CLIA Number: 10D2193565

Facility Name: DELUXE HEALTH CENTER, LLC

Facility Address:
5795 NW 151ST ST STE B
MIAMI LAKES, FL
ZIP 33014
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Facility Phone Number: 786 615-2359

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790355089

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	10D2193565
LAB Type	Physician Office
Facility Name	DELUXE HEALTH CENTER, LLC
Street	5795 NW 151ST ST STE B
City	MIAMI LAKES
State	FL
ZIP	33014
Phone	786 615-2359
CertificateType	4
CertificateEffectiveDate	9/23/2022
CertificateExpirationDate	9/22/2024
FacilityType	Waiver

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