10D2263519 CLIA NUMBER - VILLA MEDICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2263519
  • Facility Name: VILLA MEDICAL CENTER LLC
  • Facility Address: 2441 NW 93RD AVE STE 102
    DORAL, FL
    ZIP 33172
  • Facility Phone: (786) 391-4464
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANCIS E. SALAZAR
  • NPI Number: 1790424059
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2263519
LAB Type Physician Office
Facility Name VILLA MEDICAL CENTER LLC
Street 2441 NW 93RD AVE STE 102
City DORAL
State FL
ZIP 33172
Phone 7863914464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Physician Office
Lab Director FRANCIS E. SALAZAR

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This page was last updated on: 5/18/2026