10D2194974 CLIA NUMBER - PLANET HEALTH MEDICAL CENTER CORP

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Laboratory Demographics

CLIA Number: 10D2194974

Facility Name: PLANET HEALTH MEDICAL CENTER CORP

Facility Address:
134 E 49 ST
HIALEAH, FL
ZIP 33013
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Facility Phone Number: 305 407-8844

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942851951

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	10D2194974
LAB Type	Physician Office
Facility Name	PLANET HEALTH MEDICAL CENTER CORP
Street	134 E 49 ST
City	HIALEAH
State	FL
ZIP	33013
Phone	305 407-8844
CertificateType	4
CertificateEffectiveDate	10/6/2022
CertificateExpirationDate	10/5/2024
FacilityType	Waiver

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