10D2244541 CLIA NUMBER - GENESIS WOUND CARE CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D2244541
  • Facility Name: GENESIS WOUND CARE CENTER, LLC
  • Facility Address: 4995 NW 72 AVE SUITE 406
    MIAMI, FL
    ZIP 33166
  • Facility Phone: 305 603-8410
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: MAYELIN ALONSO
  • NPI Number: 1306516919
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2244541
LAB Type Community Clinic
Facility Name GENESIS WOUND CARE CENTER, LLC
Street 4995 NW 72 AVE SUITE 406
City MIAMI
State FL
ZIP 33166
Phone 305 603-8410
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Community Clinic
Lab Director MAYELIN ALONSO

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