10D2232227 CLIA NUMBER - CENTRUM MEDICAL CENTER - WEST HIALEAH, LLC

Laboratory Demographics

  • CLIA Code: 10D2232227
  • Facility Name: CENTRUM MEDICAL CENTER - WEST HIALEAH, LLC
  • Facility Address: 900 W 49TH STREET, SUITE 206
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 305 266-2929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANUEL M. LAM
  • NPI Number: 1710630074
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2232227
LAB Type Physician Office
Facility Name CENTRUM MEDICAL CENTER - WEST HIALEAH, LLC
Street 900 W 49TH STREET, SUITE 206
City HIALEAH
State FL
ZIP 33012
Phone 305 266-2929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Physician Office
Lab Director MANUEL M. LAM

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