10D2262867 CLIA NUMBER - ETERNITY MEDICAL GROUP CORP

Laboratory Demographics

  • CLIA Code: 10D2262867
  • Facility Name: ETERNITY MEDICAL GROUP CORP
  • Facility Address: 900 SW 8TH ST, STE C-1
    MIAMI, FL
    ZIP 33130
  • Facility Phone: 786 332-3136
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS CAMPILLO
  • NPI Number: 1457199267
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 10D2262867
LAB Type Physician Office
Facility Name ETERNITY MEDICAL GROUP CORP
Street 900 SW 8TH ST, STE C-1
City MIAMI
State FL
ZIP 33130
Phone 786 332-3136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Physician Office
Lab Director LUIS CAMPILLO

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