10D2278302 CLIA NUMBER - PREMIUM HEALTHCARE HOLDINGS LLLP

Laboratory Demographics

  • CLIA Code: 10D2278302
  • Facility Name: PREMIUM HEALTHCARE HOLDINGS LLLP
  • Facility Address: 6850 CORAL WAY
    MIAMI, FL
    ZIP 33155
  • Facility Phone: 305 265-4441
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEILA HOOVER
  • NPI Number: 1710764154
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2278302
LAB Type Physician Office
Facility Name PREMIUM HEALTHCARE HOLDINGS LLLP
Street 6850 CORAL WAY
City MIAMI
State FL
ZIP 33155
Phone 305 265-4441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director KEILA HOOVER

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