10D2260955 CLIA NUMBER - DOCTORS ON CAL 365, LLC

Laboratory Demographics

  • CLIA Code: 10D2260955
  • Facility Name: DOCTORS ON CAL 365, LLC
  • Facility Address: 475 BILTMORE WAY #401
    CORAL GABLES, FL
    ZIP 33134
  • Facility Phone: 786 577-9302
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ALON PAYENSON
  • NPI Number: 1417686403
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2260955
LAB Type Mobile Laboratory
Facility Name DOCTORS ON CAL 365, LLC
Street 475 BILTMORE WAY #401
City CORAL GABLES
State FL
ZIP 33134
Phone 786 577-9302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Mobile Laboratory
Lab Director ALON PAYENSON

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