10D2314125 CLIA NUMBER - EXCELLENCE CARE FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D2314125
  • Facility Name: EXCELLENCE CARE FLORIDA LLC
  • Facility Address: 4005 NW 114TH AVE
    DORAL, FL
    ZIP 33178
  • Facility Phone: (786) 366-2050
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ERNESTO GUEVARA
  • NPI Number: 1013684992
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2314125
LAB Type Community Clinic
Facility Name EXCELLENCE CARE FLORIDA LLC
Street 4005 NW 114TH AVE
City DORAL
State FL
ZIP 33178
Phone 7863662050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Community Clinic
Lab Director ERNESTO GUEVARA

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This page was last updated on: 5/18/2026