10D2299775 CLIA NUMBER - ST THOMAS UNIVERSITY HEALTH & WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 10D2299775
  • Facility Name: ST THOMAS UNIVERSITY HEALTH & WELLNESS CENTER
  • Facility Address: 16401 NW 37TH AVENUE
    MIAMI GARDENS, FL
    ZIP 33054
  • Facility Phone: 305 474-6921
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JACQUELINE DOMINGUEZ
  • NPI Number: 1689177099
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2299775
LAB Type School/Student Health Service
Facility Name ST THOMAS UNIVERSITY HEALTH & WELLNESS CENTER
Street 16401 NW 37TH AVENUE
City MIAMI GARDENS
State FL
ZIP 33054
Phone 305 474-6921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type School/Student Health Service
Lab Director JACQUELINE DOMINGUEZ

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