10D2307411 CLIA NUMBER - NOVA MEDICAL SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2307411
  • Facility Name: NOVA MEDICAL SERVICES LLC
  • Facility Address: 19225 SW 87 AVE CUTLER BAY
    CUTLER BAY, FL
    ZIP 33157
  • Facility Phone: 786 715-9183
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IVAN D. CANAS
  • NPI Number: 1336722321
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2307411
LAB Type Physician Office
Facility Name NOVA MEDICAL SERVICES LLC
Street 19225 SW 87 AVE CUTLER BAY
City CUTLER BAY
State FL
ZIP 33157
Phone 786 715-9183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director IVAN D. CANAS

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