10D2268670 CLIA NUMBER - OUTPATIENT PSY CARE INC

Laboratory Demographics

  • CLIA Code: 10D2268670
  • Facility Name: OUTPATIENT PSY CARE INC
  • Facility Address: 3271 NW 7TH STREET SUITE 203
    MIAMI, FL
    ZIP 33125
  • Facility Phone: 786 220-6902
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: VIVIAN D J. GONZALEZ DIAZ
  • NPI Number: 1306897954
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 10D2268670
LAB Type Community Clinic
Facility Name OUTPATIENT PSY CARE INC
Street 3271 NW 7TH STREET SUITE 203
City MIAMI
State FL
ZIP 33125
Phone 786 220-6902
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Community Clinic
Lab Director VIVIAN D J. GONZALEZ DIAZ

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