10D2264733 CLIA NUMBER - CENTRUM MEDICAL CENTER - HOMESTEAD, LLC

Laboratory Demographics

  • CLIA Code: 10D2264733
  • Facility Name: CENTRUM MEDICAL CENTER - HOMESTEAD, LLC
  • Facility Address: 28610 SW 157 AVE
    HOMESTEAD, FL
    ZIP 33033
  • Facility Phone: 305 266-2929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANUEL M. LAM
  • NPI Number: 1376138339
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2264733
LAB Type Physician Office
Facility Name CENTRUM MEDICAL CENTER - HOMESTEAD, LLC
Street 28610 SW 157 AVE
City HOMESTEAD
State FL
ZIP 33033
Phone 305 266-2929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director MANUEL M. LAM

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