10D2227588 CLIA NUMBER - LIFELONG CARE CORP DBA CONVENIENT MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 10D2227588
  • Facility Name: LIFELONG CARE CORP DBA CONVENIENT MEDICAL CENTER
  • Facility Address: 259 E 49TH ST
    HIALEAH, FL
    ZIP 33013
  • Facility Phone: 786 776-2021
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MIRABAL RODRIGUEZ ROSBEL
  • NPI Number: 1851968291
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2227588
LAB Type Practitioner Other
Facility Name LIFELONG CARE CORP DBA CONVENIENT MEDICAL CENTER
Street 259 E 49TH ST
City HIALEAH
State FL
ZIP 33013
Phone 786 776-2021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Practitioner Other
Lab Director MIRABAL RODRIGUEZ ROSBEL

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