10D2271984 CLIA NUMBER - GOLDEN YEARS BEHAVIORAL CENTER CORP DBA GOLDEN HEALTH CARE

Laboratory Demographics

  • CLIA Code: 10D2271984
  • Facility Name: GOLDEN YEARS BEHAVIORAL CENTER CORP DBA GOLDEN HEALTH CARE
  • Facility Address: 12955 SW 42 ST, STE 2
    MIAMI, FL
    ZIP 33175
  • Facility Phone: (786) 491-4947
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN FITZGERALD
  • NPI Number: 1447859137
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2271984
LAB Type Physician Office
Facility Name GOLDEN YEARS BEHAVIORAL CENTER CORP DBA GOLDEN HEALTH CARE
Street 12955 SW 42 ST, STE 2
City MIAMI
State FL
ZIP 33175
Phone 7864914947
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director KEVIN FITZGERALD

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This page was last updated on: 6/29/2026