10D2221617 CLIA NUMBER - PASSQUAL, INC

Laboratory Demographics

CLIA Number: 10D2221617

Facility Name: PASSQUAL, INC

Facility Address:
18300 NW 62 AVE, STE 210
MIAMI GARDENS, FL
ZIP 33015
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Facility Phone Number: 786 677-9922

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427677319

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	4/22/2023
CertificateExpirationDate	4/21/2025
FacilityType	Waiver

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