10D2269111 CLIA NUMBER - FLORIDA WOMAN CARE

Laboratory Demographics

CLIA Number: 10D2269111

Facility Name: FLORIDA WOMAN CARE

Facility Address:
2801 NW 79TH AVENUE SUITE 4005
DORAL, FL
ZIP 33122
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Facility Phone Number: 305 512-4858

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1609537026

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D2269111
LAB Type	Physician Office
Facility Name	FLORIDA WOMAN CARE
Street	2801 NW 79TH AVENUE SUITE 4005
City	DORAL
State	FL
ZIP	33122
Phone	305 512-4858
CertificateType	4
CertificateEffectiveDate	9/21/2022
CertificateExpirationDate	9/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024