10D2284080 CLIA NUMBER - FAX PHARMA INC

Laboratory Demographics

  • CLIA Code: 10D2284080
  • Facility Name: FAX PHARMA INC
  • Facility Address: 3850 BIRD ROAD SUITE 105
    MIAMI, FL
    ZIP 33146
  • Facility Phone: 786 590-1567
  • Facility Type: Other - CLINICAL RESEARCH SITE
  • Facility Type: Microscopy
  • Lab Director: JANICE LIMA-MARIBONA DO
  • NPI Number: 1194509208
  • Taxonomy: 261QR1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2284080
LAB Type Other - CLINICAL RESEARCH SITE
Facility Name FAX PHARMA INC
Street 3850 BIRD ROAD SUITE 105
City MIAMI
State FL
ZIP 33146
Phone 786 590-1567
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Other - CLINICAL RESEARCH SITE
Lab Director JANICE LIMA-MARIBONA DO

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