10D2271734 CLIA NUMBER - BKB MED LLC

Laboratory Demographics

  • CLIA Code: 10D2271734
  • Facility Name: BKB MED LLC
  • Facility Address: 13814 SW 152 ST
    MIAMI, FL
    ZIP 33177
  • Facility Phone: 305 305-1002
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JUAN L. BRITO VILLALON
  • NPI Number: 1629790340
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2271734
LAB Type Ancillary Testing Site in Health Care Center
Facility Name BKB MED LLC
Street 13814 SW 152 ST
City MIAMI
State FL
ZIP 33177
Phone 305 305-1002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JUAN L. BRITO VILLALON

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