10D2217732 CLIA NUMBER - PHYSICIANS CREEK INC

Laboratory Demographics

  • CLIA Code: 10D2217732
  • Facility Name: PHYSICIANS CREEK INC
  • Facility Address: 2040 NE 163RD - STE 204
    NORTH MIAMI BEACH, FL
    ZIP 33162
  • Facility Phone: 305 720-4004
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADAM M. AU
  • NPI Number: 1811385990
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2217732
LAB Type Physician Office
Facility Name PHYSICIANS CREEK INC
Street 2040 NE 163RD - STE 204
City NORTH MIAMI BEACH
State FL
ZIP 33162
Phone 305 720-4004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Physician Office
Lab Director ADAM M. AU

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