10D2305596 CLIA NUMBER - ICON MEDICAL CENTERS LLC

Laboratory Demographics

  • CLIA Code: 10D2305596
  • Facility Name: ICON MEDICAL CENTERS LLC
  • Facility Address: 232 SW 8TH STREET
    MIAMI, FL
    ZIP 33130
  • Facility Phone: 305 858-8845
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD LUCAS
  • NPI Number: 1073108692
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2305596
LAB Type Physician Office
Facility Name ICON MEDICAL CENTERS LLC
Street 232 SW 8TH STREET
City MIAMI
State FL
ZIP 33130
Phone 305 858-8845
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director EDWARD LUCAS

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