10D2232353 CLIA NUMBER - MIAMI LAKES DOCTOR'S LLC

Laboratory Demographics

  • CLIA Code: 10D2232353
  • Facility Name: MIAMI LAKES DOCTOR'S LLC
  • Facility Address: 5757 NW 151 ST
    MIAMI LAKES, FL
    ZIP 33014
  • Facility Phone: 786 353-2058
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GUILLERMO FONSECA
  • NPI Number: 1619588324
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2232353
LAB Type Physician Office
Facility Name MIAMI LAKES DOCTOR'S LLC
Street 5757 NW 151 ST
City MIAMI LAKES
State FL
ZIP 33014
Phone 786 353-2058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Physician Office
Lab Director GUILLERMO FONSECA

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