10D2298135 CLIA NUMBER - ERICK UNLIMITED II LLC DBA UNIVIDA MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 10D2298135
  • Facility Name: ERICK UNLIMITED II LLC DBA UNIVIDA MEDICAL CENTER
  • Facility Address: 4526 PALM AVE
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 786 600-7560
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUSTO C. FELIPE
  • NPI Number: 1003569807
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2298135
LAB Type Physician Office
Facility Name ERICK UNLIMITED II LLC DBA UNIVIDA MEDICAL CENTER
Street 4526 PALM AVE
City HIALEAH
State FL
ZIP 33012
Phone 786 600-7560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Physician Office
Lab Director JUSTO C. FELIPE

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