10D2195831 CLIA NUMBER - DOCTORS UNITED GROUP INC

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Laboratory Demographics

CLIA Number: 10D2195831

Facility Name: DOCTORS UNITED GROUP INC

Facility Address:
2150 W 76TH ST STE 100
HIALEAH, FL
ZIP 33016
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Facility Phone Number: 305 530-8949

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1164071544

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	10D2195831
LAB Type	Physician Office
Facility Name	DOCTORS UNITED GROUP INC
Street	2150 W 76TH ST STE 100
City	HIALEAH
State	FL
ZIP	33016
Phone	305 530-8949
CertificateType	4
CertificateEffectiveDate	10/13/2022
CertificateExpirationDate	10/12/2024
FacilityType	Waiver

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