10D2198016 CLIA NUMBER - CORAL GABLES CLINICAL RESEARCH INSTITUTE

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Laboratory Demographics

CLIA Number: 10D2198016

Facility Name: CORAL GABLES CLINICAL RESEARCH INSTITUTE

Facility Address:
4776 SW 8 ST
CORAL GABLES, FL
ZIP 33134
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Facility Phone Number: 305 447-9650

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1336236363

Taxonomy: 261QM1200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2198016
LAB Type	Practitioner Other
Facility Name	CORAL GABLES CLINICAL RESEARCH INSTITUTE
Street	4776 SW 8 ST
City	CORAL GABLES
State	FL
ZIP	33134
Phone	305 447-9650
CertificateType	4
CertificateEffectiveDate	10/29/2022
CertificateExpirationDate	10/28/2024
FacilityType	Waiver

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