10D2244752 CLIA NUMBER - MANI MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 10D2244752
  • Facility Name: MANI MEDICAL CORP
  • Facility Address: 151 NW 11TH STREET, SUITE W303
    HOMESTEAD, FL
    ZIP 33030
  • Facility Phone: 786 743-4803
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: NIERMALA RATTAN-WASHINGTON
  • NPI Number: 1295406429
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2244752
LAB Type Community Clinic
Facility Name MANI MEDICAL CORP
Street 151 NW 11TH STREET, SUITE W303
City HOMESTEAD
State FL
ZIP 33030
Phone 786 743-4803
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Community Clinic
Lab Director NIERMALA RATTAN-WASHINGTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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