10D2237964 CLIA NUMBER - ATLANTIC MEDICAL CENTER DORAL INC

Laboratory Demographics

CLIA Number: 10D2237964

Facility Name: ATLANTIC MEDICAL CENTER DORAL INC

Facility Address:
10900 NW 25 STREET SUITE 104
MIAMI, FL
ZIP 33172
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Facility Phone Number: 786 360-5892

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942847496

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2237964
LAB Type	Physician Office
Facility Name	ATLANTIC MEDICAL CENTER DORAL INC
Street	10900 NW 25 STREET SUITE 104
City	MIAMI
State	FL
ZIP	33172
Phone	786 360-5892
CertificateType	4
CertificateEffectiveDate	9/29/2023
CertificateExpirationDate	9/28/2025
FacilityType	Waiver

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