10D2301619 CLIA NUMBER - ONE SOUL CMH, INC

Laboratory Demographics

  • CLIA Code: 10D2301619
  • Facility Name: ONE SOUL CMH, INC
  • Facility Address: 5901 MIAMI GARDENS DR, STE 128
    MIAMI, FL
    ZIP 33015
  • Facility Phone: 786 332-4965
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OSVALDO ANTONIO CARMONA
  • NPI Number: 1447823430
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2301619
LAB Type Physician Office
Facility Name ONE SOUL CMH, INC
Street 5901 MIAMI GARDENS DR, STE 128
City MIAMI
State FL
ZIP 33015
Phone 786 332-4965
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Physician Office
Lab Director OSVALDO ANTONIO CARMONA

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