10D2228657 CLIA NUMBER - BUSTILLO DOCTOR OFFICES, INC

Laboratory Demographics

  • CLIA Code: 10D2228657
  • Facility Name: BUSTILLO DOCTOR OFFICES, INC
  • Facility Address: 7295 SW 24 ST SUITE #1
    MIAMI, FL
    ZIP 33155
  • Facility Phone: 305 456-2701
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: HORTENCIA L. BUSTILLO
  • NPI Number: 1790380236
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2228657
LAB Type Community Clinic
Facility Name BUSTILLO DOCTOR OFFICES, INC
Street 7295 SW 24 ST SUITE #1
City MIAMI
State FL
ZIP 33155
Phone 305 456-2701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Community Clinic
Lab Director HORTENCIA L. BUSTILLO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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