10D2246205 CLIA NUMBER - UNIVERSAL MENTAL HEALTH INC DBA VIDA MEDICAL CENTERS

Laboratory Demographics

  • CLIA Code: 10D2246205
  • Facility Name: UNIVERSAL MENTAL HEALTH INC DBA VIDA MEDICAL CENTERS
  • Facility Address: 139 N REDLAND ROAD #5
    HOMESTEAD, FL
    ZIP 33034
  • Facility Phone: 786 628-8656
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDY LOPEZ
  • NPI Number: 1740865039
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2246205
LAB Type Physician Office
Facility Name UNIVERSAL MENTAL HEALTH INC DBA VIDA MEDICAL CENTERS
Street 139 N REDLAND ROAD #5
City HOMESTEAD
State FL
ZIP 33034
Phone 786 628-8656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director SANDY LOPEZ

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