10D2216434 CLIA NUMBER - JACK BANDEL MD PA

Laboratory Demographics

  • CLIA Code: 10D2216434
  • Facility Name: JACK BANDEL MD PA
  • Facility Address: 20818 W DIXIE HWY
    MIAMI, FL
    ZIP 33180
  • Facility Phone: 305 933-3035
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACK W. BANDEL
  • NPI Number: 1104017888
  • Taxonomy: 2080P0202X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2216434
LAB Type Physician Office
Facility Name JACK BANDEL MD PA
Street 20818 W DIXIE HWY
City MIAMI
State FL
ZIP 33180
Phone 305 933-3035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Physician Office
Lab Director JACK W. BANDEL

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