10D2317476 CLIA NUMBER - MIAMI MEDICAL INSTITUTE LLC

Laboratory Demographics

  • CLIA Code: 10D2317476
  • Facility Name: MIAMI MEDICAL INSTITUTE LLC
  • Facility Address: 8740 N KENDALL DR, STE 118
    MIAMI, FL
    ZIP 33176
  • Facility Phone: 305 686-9977
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAFINE MORENO-JACKSON
  • NPI Number: 1467608661
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2317476
LAB Type Physician Office
Facility Name MIAMI MEDICAL INSTITUTE LLC
Street 8740 N KENDALL DR, STE 118
City MIAMI
State FL
ZIP 33176
Phone 305 686-9977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director RAFINE MORENO-JACKSON

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