10D2241734 CLIA NUMBER - OXUM HEALTH AND WELLNESS, LLC

Laboratory Demographics

CLIA Number: 10D2241734

Facility Name: OXUM HEALTH AND WELLNESS, LLC

Facility Address:
8785 SW 165 AVE SUITE 200-2014
MIAMI, FL
ZIP 33193
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Facility Phone Number: 786 347-2700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497427926

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2241734
LAB Type	Physician Office
Facility Name	OXUM HEALTH AND WELLNESS, LLC
Street	8785 SW 165 AVE SUITE 200-2014
City	MIAMI
State	FL
ZIP	33193
Phone	786 347-2700
CertificateType	4
CertificateEffectiveDate	11/1/2023
CertificateExpirationDate	10/31/2025
FacilityType	Waiver

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