10D2279284 CLIA NUMBER - MEMORIAL PRIMARY CARE PALM SPRINGS NORTH

Laboratory Demographics

CLIA Number: 10D2279284

Facility Name: MEMORIAL PRIMARY CARE PALM SPRINGS NORTH

Facility Address:
8649 NW 186 ST
HIALEAH, FL
ZIP 33015
Get Directions

Facility Phone Number: 305 682-2666

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144919259

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name Field Value
CLIA Number 10D2279284
LAB Type Physician Office
Facility Name MEMORIAL PRIMARY CARE PALM SPRINGS NORTH
Street 8649 NW 186 ST
City HIALEAH
State FL
ZIP 33015
Phone 305 682-2666
CertificateType 4
CertificateEffectiveDate 3/31/2023
CertificateExpirationDate 3/30/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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