10D2225947 CLIA NUMBER - EXCELLENCE MEDICAL AND RESEARCH

Laboratory Demographics

  • CLIA Code: 10D2225947
  • Facility Name: EXCELLENCE MEDICAL AND RESEARCH
  • Facility Address: 111 NW 183 ST STE 206
    MIAMI GARDENS, FL
    ZIP 33169
  • Facility Phone: 786 205-8666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDER MARTINEZ
  • NPI Number: 1700596541
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2225947
LAB Type Physician Office
Facility Name EXCELLENCE MEDICAL AND RESEARCH
Street 111 NW 183 ST STE 206
City MIAMI GARDENS
State FL
ZIP 33169
Phone 786 205-8666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director ALEXANDER MARTINEZ

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