10D2231856 CLIA NUMBER - MYL GROUP SERVICES CORP

Laboratory Demographics

CLIA Number: 10D2231856

Facility Name: MYL GROUP SERVICES CORP

Facility Address:
7480 FAIRWAY DR SUITE 208
MIAMI LAKES, FL
ZIP 33014
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Facility Phone Number: 669 235-4347

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265065528

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	10D2231856
LAB Type	Physician Office
Facility Name	MYL GROUP SERVICES CORP
Street	7480 FAIRWAY DR SUITE 208
City	MIAMI LAKES
State	FL
ZIP	33014
Phone	669 235-4347
CertificateType	4
CertificateEffectiveDate	8/6/2023
CertificateExpirationDate	8/5/2025
FacilityType	Waiver

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