10D2211172 CLIA NUMBER - INTEGRITY CLINICAL MEDICAL CENTER INC

Laboratory Demographics

CLIA Number: 10D2211172

Facility Name: INTEGRITY CLINICAL MEDICAL CENTER INC

Facility Address:
7590 NW 186 ST STE 209
MIAMI, FL
ZIP 33015
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Facility Phone Number: 786 953-6263

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1922697150

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name Field Value
CLIA Number 10D2211172
LAB Type Physician Office
Facility Name INTEGRITY CLINICAL MEDICAL CENTER INC
Street 7590 NW 186 ST STE 209
City MIAMI
State FL
ZIP 33015
Phone 786 953-6263
CertificateType 4
CertificateEffectiveDate 1/26/2023
CertificateExpirationDate 1/25/2025
FacilityType Waiver

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