10D2285842 CLIA NUMBER - CALATA MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 10D2285842
  • Facility Name: CALATA MEDICAL GROUP INC
  • Facility Address: 10890 NW 17TH ST SUITE 126
    MIAMI, FL
    ZIP 33172
  • Facility Phone: 786 591-0202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TANIA A. VELEZ CALAO
  • NPI Number: 1013626472
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2285842
LAB Type Physician Office
Facility Name CALATA MEDICAL GROUP INC
Street 10890 NW 17TH ST SUITE 126
City MIAMI
State FL
ZIP 33172
Phone 786 591-0202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director TANIA A. VELEZ CALAO

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