10D2283422 CLIA NUMBER - WATERWAY MED GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2283422
  • Facility Name: WATERWAY MED GROUP LLC
  • Facility Address: 7001 N WATERWAY DR SUITE 107
    MIAMI, FL
    ZIP 33155
  • Facility Phone: 786 542-9832
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JODY SCOTT GREENFIELD
  • NPI Number: 1952027104
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2283422
LAB Type Physician Office
Facility Name WATERWAY MED GROUP LLC
Street 7001 N WATERWAY DR SUITE 107
City MIAMI
State FL
ZIP 33155
Phone 786 542-9832
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director JODY SCOTT GREENFIELD

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