10D2240242 CLIA NUMBER - MARISELA GONZALEZ MD PA

Laboratory Demographics

  • CLIA Code: 10D2240242
  • Facility Name: MARISELA GONZALEZ MD PA
  • Facility Address: 7171 CORAL WAY SUITE #201
    MIAMI, FL
    ZIP 33155
  • Facility Phone: (305) 220-3700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARISELA GONZALEZ
  • NPI Number: 1275836330
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2240242
LAB Type Physician Office
Facility Name MARISELA GONZALEZ MD PA
Street 7171 CORAL WAY SUITE #201
City MIAMI
State FL
ZIP 33155
Phone 3052203700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director MARISELA GONZALEZ

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This page was last updated on: 5/18/2026