10D2202672 CLIA NUMBER - INTEGRATED COMPREHENSIVE URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2202672
  • Facility Name: INTEGRATED COMPREHENSIVE URGENT CARE LLC
  • Facility Address: 3595 WEST 20TH AVENUE SUITE 130
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 305 883-8488
  • Facility Type: Other - URGENT CARE MEDICAL OFC
  • Facility Type: Waiver
  • Lab Director: JEFFREY A. LOMAN
  • NPI Number: 1568069441
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2202672
LAB Type Other - URGENT CARE MEDICAL OFC
Facility Name INTEGRATED COMPREHENSIVE URGENT CARE LLC
Street 3595 WEST 20TH AVENUE SUITE 130
City HIALEAH
State FL
ZIP 33012
Phone 305 883-8488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Other - URGENT CARE MEDICAL OFC
Lab Director JEFFREY A. LOMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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