10D2259973 CLIA NUMBER - M & J PREFERENCE MENTAL HEALTH CORP

Laboratory Demographics

  • CLIA Code: 10D2259973
  • Facility Name: M & J PREFERENCE MENTAL HEALTH CORP
  • Facility Address: 1150 NW 72ND AVE, STE 220
    MIAMI, FL
    ZIP 33126
  • Facility Phone: 305 381-5244
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDGART M. ALONSO
  • NPI Number: 1235723131
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2259973
LAB Type Physician Office
Facility Name M & J PREFERENCE MENTAL HEALTH CORP
Street 1150 NW 72ND AVE, STE 220
City MIAMI
State FL
ZIP 33126
Phone 305 381-5244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director EDGART M. ALONSO

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This page was last updated on: 6/4/2025