10D2260967 CLIA NUMBER - CARDINAL PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2260967
  • Facility Name: CARDINAL PRIMARY CARE LLC
  • Facility Address: 10970 SW 73RD STREET
    MIAMI, FL
    ZIP 33173
  • Facility Phone: 786 715-2505
  • Facility Type: Other - HEA;THCARE CENTER/CLINIC
  • Facility Type: Waiver
  • Lab Director: RAQUEL JOUBERT
  • NPI Number: 1952055410
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2260967
LAB Type Other - HEA;THCARE CENTER/CLINIC
Facility Name CARDINAL PRIMARY CARE LLC
Street 10970 SW 73RD STREET
City MIAMI
State FL
ZIP 33173
Phone 786 715-2505
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 Other - HEA;THCARE CENTER/CLINIC
Lab Director RAQUEL JOUBERT

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