10D2255338 CLIA NUMBER - MED THERAPY & SPA INC

Laboratory Demographics

  • CLIA Code: 10D2255338
  • Facility Name: MED THERAPY & SPA INC
  • Facility Address: 7241 SW 63RD AVENUES SUITE 201
    MIAMI, FL
    ZIP 33143
  • Facility Phone: (305) 859-0099
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: UBALDO MIRANDA
  • NPI Number: 1093297384
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2255338
LAB Type Physician Office
Facility Name MED THERAPY & SPA INC
Street 7241 SW 63RD AVENUES SUITE 201
City MIAMI
State FL
ZIP 33143
Phone 3058590099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2026
Certificate Expiration Date 3/13/2028
Facility Type Physician Office
Lab Director UBALDO MIRANDA

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This page was last updated on: 5/18/2026