10D2246137 CLIA NUMBER - MARIA A MOLINA APRN PA

Laboratory Demographics

CLIA Number: 10D2246137

Facility Name: MARIA A MOLINA APRN PA

Facility Address:
10300 SW 72ND ST SUITE 356
MIAMI, FL
ZIP 33173
Get Directions

Facility Phone Number: 786 703-8061

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1194485979

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	10D2246137
LAB Type	Practitioner Other
Facility Name	MARIA A MOLINA APRN PA
Street	10300 SW 72ND ST SUITE 356
City	MIAMI
State	FL
ZIP	33173
Phone	786 703-8061
CertificateType	4
CertificateEffectiveDate	12/21/2023
CertificateExpirationDate	12/20/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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