10D2314943 CLIA NUMBER - CENTENNIAL MEDICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2314943
  • Facility Name: CENTENNIAL MEDICAL CENTER LLC
  • Facility Address: 2601 SW 37 AVE STE 802
    MIAMI, FL
    ZIP 33133
  • Facility Phone: 786 359-4312
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOEL GONZALEZ
  • NPI Number: 1881461630
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2314943
LAB Type Physician Office
Facility Name CENTENNIAL MEDICAL CENTER LLC
Street 2601 SW 37 AVE STE 802
City MIAMI
State FL
ZIP 33133
Phone 786 359-4312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director JOEL GONZALEZ

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