10D2258989 CLIA NUMBER - LA ESPERANZA MEDICAL CENTER

Laboratory Demographics

CLIA Number: 10D2258989

Facility Name: LA ESPERANZA MEDICAL CENTER

Facility Address:
132 HIALEAH DRIVE
HIALEAH, FL
ZIP 33010
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Facility Phone Number: 305 748-3629

Facility Type: Other - RESEARCH CLINIC

Certificate Type: Waiver

NPI Number: 1427633593

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2258989
LAB Type	Other - RESEARCH CLINIC
Facility Name	LA ESPERANZA MEDICAL CENTER
Street	132 HIALEAH DRIVE
City	HIALEAH
State	FL
ZIP	33010
Phone	305 748-3629
CertificateType	4
CertificateEffectiveDate	4/29/2022
CertificateExpirationDate	4/28/2024
FacilityType	Waiver

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