10D2266130 CLIA NUMBER - TU CLINICA HISPANA

Laboratory Demographics

  • CLIA Code: 10D2266130
  • Facility Name: TU CLINICA HISPANA
  • Facility Address: 12 PALM PLAZA
    HOMESTEAD, FL
    ZIP 33033
  • Facility Phone: 469 996-5502
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSAS SANTIAGO E. PEDRO
  • NPI Number: 1487445623
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2266130
LAB Type Physician Office
Facility Name TU CLINICA HISPANA
Street 12 PALM PLAZA
City HOMESTEAD
State FL
ZIP 33033
Phone 469 996-5502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Physician Office
Lab Director ROSAS SANTIAGO E. PEDRO

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