10D2201288 CLIA NUMBER - CARLOS F VALLEJO, MD PA

Laboratory Demographics

  • CLIA Code: 10D2201288
  • Facility Name: CARLOS F VALLEJO, MD PA
  • Facility Address: 5803 NW 151 ST STE 101
    MIAMI LAKES, FL
    ZIP 33014
  • Facility Phone: 305 696-8156
  • Facility Type: Other - HEALTHCARE CENTER
  • Facility Type: Waiver
  • Lab Director: LISSETTE SELEM
  • NPI Number: 1528108461
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2201288
LAB Type Other - HEALTHCARE CENTER
Facility Name CARLOS F VALLEJO, MD PA
Street 5803 NW 151 ST STE 101
City MIAMI LAKES
State FL
ZIP 33014
Phone 305 696-8156
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Other - HEALTHCARE CENTER
Lab Director LISSETTE SELEM

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