10D2221617 CLIA NUMBER - PASSQUAL, INC

Laboratory Demographics

  • CLIA Code: 10D2221617
  • Facility Name: PASSQUAL, INC
  • Facility Address: 18300 NW 62 AVE, STE 210
    MIAMI GARDENS, FL
    ZIP 33015
  • Facility Phone: 786 677-9922
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HENDRY PEREZ PASCUAL
  • NPI Number: 1427677319
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2221617
LAB Type Physician Office
Facility Name PASSQUAL, INC
Street 18300 NW 62 AVE, STE 210
City MIAMI GARDENS
State FL
ZIP 33015
Phone 786 677-9922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Physician Office
Lab Director HENDRY PEREZ PASCUAL

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