10D2261137 CLIA NUMBER - CENTURY MEDICAL CENTER OF SOUTH DADE, LLC

Laboratory Demographics

CLIA Number: 10D2261137

Facility Name: CENTURY MEDICAL CENTER OF SOUTH DADE, LLC

Facility Address:
1645 SW 107TH AVE
MIAMI, FL
ZIP 33165
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Facility Phone Number: 305 642-1040

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982271078

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D2261137
LAB Type	Physician Office
Facility Name	CENTURY MEDICAL CENTER OF SOUTH DADE, LLC
Street	1645 SW 107TH AVE
City	MIAMI
State	FL
ZIP	33165
Phone	305 642-1040
CertificateType	4
CertificateEffectiveDate	5/26/2022
CertificateExpirationDate	5/25/2024
FacilityType	Waiver

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