10D2268785 CLIA NUMBER - MOUNT SINAI ELDERCARE INC

Laboratory Demographics

CLIA Code: 10D2268785
Facility Name: MOUNT SINAI ELDERCARE INC
Facility Address: 6050 W 20TH AVENUE SUITE #2001
HIALEAH, FL
ZIP 33016
Facility Phone: 786 584-5560
Facility Type: Ancillary Testing Site in Health Care Center
Facility Type: Waiver
Lab Director: CLIFFORD MEDINA
NPI Number: 1528787942
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	10D2268785
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	MOUNT SINAI ELDERCARE INC
Street	6050 W 20TH AVENUE SUITE #2001
City	HIALEAH
State	FL
ZIP	33016
Phone	786 584-5560
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	9/16/2024
Certificate Expiration Date	9/15/2026
Facility Type	Ancillary Testing Site in Health Care Center
Lab Director	CLIFFORD MEDINA

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