10D2218972 CLIA NUMBER - ALL INCLUSIVE PREVENTIVE CARE, LLC

Laboratory Demographics

CLIA Number: 10D2218972

Facility Name: ALL INCLUSIVE PREVENTIVE CARE, LLC

Facility Address:
5881 NW 151 STREET #218
MIAMI LAKES, FL
ZIP 33014
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Facility Phone Number: 305 200-3141

Facility Type: Other - APRN

Certificate Type: Waiver

NPI Number: 1013501113

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2218972
LAB Type	Other - APRN
Facility Name	ALL INCLUSIVE PREVENTIVE CARE, LLC
Street	5881 NW 151 STREET #218
City	MIAMI LAKES
State	FL
ZIP	33014
Phone	305 200-3141
CertificateType	4
CertificateEffectiveDate	4/1/2023
CertificateExpirationDate	3/31/2025
FacilityType	Waiver

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