10D2286344 CLIA NUMBER - ENTRUST MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 10D2286344
  • Facility Name: ENTRUST MEDICAL GROUP INC
  • Facility Address: 14411 COMMERCE WAY SUITE 300
    MIAMI LAKES, FL
    ZIP 33016
  • Facility Phone: 786 803-8687
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIANELYS S. ROMAN PARRADO
  • NPI Number: 1275363236
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2286344
LAB Type Physician Office
Facility Name ENTRUST MEDICAL GROUP INC
Street 14411 COMMERCE WAY SUITE 300
City MIAMI LAKES
State FL
ZIP 33016
Phone 786 803-8687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Physician Office
Lab Director DIANELYS S. ROMAN PARRADO

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