10D2281345 CLIA NUMBER - ALTIUS MEDICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2281345
  • Facility Name: ALTIUS MEDICAL CENTER LLC
  • Facility Address: 14221 SW 120 ST, STE 129
    MIAMI, FL
    ZIP 33186
  • Facility Phone: 786 292-9650
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALIAN LOPEZ HERNANDEZ
  • NPI Number: 1770204141
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2281345
LAB Type Physician Office
Facility Name ALTIUS MEDICAL CENTER LLC
Street 14221 SW 120 ST, STE 129
City MIAMI
State FL
ZIP 33186
Phone 786 292-9650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Physician Office
Lab Director ALIAN LOPEZ HERNANDEZ

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