10D2286751 CLIA NUMBER - PROGRESSIVE MEDICAL CENTER, INC

Laboratory Demographics

  • CLIA Code: 10D2286751
  • Facility Name: PROGRESSIVE MEDICAL CENTER, INC
  • Facility Address: 12595 SW 137 AVE, STE 110
    MIAMI, FL
    ZIP 33186
  • Facility Phone: 305 465-9379
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: RAUL VALLADARES ULLOA
  • NPI Number: 1013592195
  • Taxonomy: 261QM0801X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2286751
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PROGRESSIVE MEDICAL CENTER, INC
Street 12595 SW 137 AVE, STE 110
City MIAMI
State FL
ZIP 33186
Phone 305 465-9379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director RAUL VALLADARES ULLOA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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