10D2200694 CLIA NUMBER - HERIBERTO FERNANDEZ MD PA

Laboratory Demographics

  • CLIA Code: 10D2200694
  • Facility Name: HERIBERTO FERNANDEZ MD PA
  • Facility Address: 777 E 25TH STREET UNIT 509
    HIALEAH, FL
    ZIP 33013
  • Facility Phone: 305 420-5016
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HERIBERTO FERNANDEZ
  • NPI Number: 1598087520
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2200694
LAB Type Physician Office
Facility Name HERIBERTO FERNANDEZ MD PA
Street 777 E 25TH STREET UNIT 509
City HIALEAH
State FL
ZIP 33013
Phone 305 420-5016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director HERIBERTO FERNANDEZ

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This page was last updated on: 9/29/2025