10D2266266 CLIA NUMBER - MIAMI MED GROUP INC

Laboratory Demographics

  • CLIA Code: 10D2266266
  • Facility Name: MIAMI MED GROUP INC
  • Facility Address: 12700 SW 122ND AVE SUITE 105
    MIAMI, FL
    ZIP 33186
  • Facility Phone: 786 206-8521
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DILIO BRAVO
  • NPI Number: 1942974555
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2266266
LAB Type Physician Office
Facility Name MIAMI MED GROUP INC
Street 12700 SW 122ND AVE SUITE 105
City MIAMI
State FL
ZIP 33186
Phone 786 206-8521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Physician Office
Lab Director DILIO BRAVO

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