10D2268592 CLIA NUMBER - PRINCIPLE CARE CENTER INC

Laboratory Demographics

  • CLIA Code: 10D2268592
  • Facility Name: PRINCIPLE CARE CENTER INC
  • Facility Address: 4445 W 16TH AVE, SUITE 602
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 786 334-5663
  • Facility Type: Other - RESEARCH CLINIC
  • Facility Type: Waiver
  • Lab Director: MIRTA L. PLASENCIA
  • NPI Number: 1760190763
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2268592
LAB Type Other - RESEARCH CLINIC
Facility Name PRINCIPLE CARE CENTER INC
Street 4445 W 16TH AVE, SUITE 602
City HIALEAH
State FL
ZIP 33012
Phone 786 334-5663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Other - RESEARCH CLINIC
Lab Director MIRTA L. PLASENCIA

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