10D2317116 CLIA NUMBER - GOMEZ BEHAVIORAL SOLUTION LLC

Laboratory Demographics

  • CLIA Code: 10D2317116
  • Facility Name: GOMEZ BEHAVIORAL SOLUTION LLC
  • Facility Address: 1150 NW 72 AVE STE 350
    MIAMI, FL
    ZIP 33126
  • Facility Phone: 786 228-7801
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAUL A. PEREZ FALERO
  • NPI Number: 1285400515
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2317116
LAB Type Physician Office
Facility Name GOMEZ BEHAVIORAL SOLUTION LLC
Street 1150 NW 72 AVE STE 350
City MIAMI
State FL
ZIP 33126
Phone 786 228-7801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Physician Office
Lab Director RAUL A. PEREZ FALERO

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