10D2306695 CLIA NUMBER - PHP MENTAL HEALTH CENTER INC

Laboratory Demographics

  • CLIA Code: 10D2306695
  • Facility Name: PHP MENTAL HEALTH CENTER INC
  • Facility Address: 10665 SW 190TH ST
    MIAMI, FL
    ZIP 33157
  • Facility Phone: 786 760-6451
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: NAOMI JEANTY-HIGGINS
  • NPI Number: 1437914512
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 10D2306695
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PHP MENTAL HEALTH CENTER INC
Street 10665 SW 190TH ST
City MIAMI
State FL
ZIP 33157
Phone 786 760-6451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director NAOMI JEANTY-HIGGINS

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