10D2318693 CLIA NUMBER - PREMIER MED-CLINIC INC

Laboratory Demographics

  • CLIA Code: 10D2318693
  • Facility Name: PREMIER MED-CLINIC INC
  • Facility Address: 5901 NW 183RD ST, STE 211
    MIAMI, FL
    ZIP 33015
  • Facility Phone: 305 749-6189
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GRETEL FRANCH
  • NPI Number: 1932915584
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2318693
LAB Type Physician Office
Facility Name PREMIER MED-CLINIC INC
Street 5901 NW 183RD ST, STE 211
City MIAMI
State FL
ZIP 33015
Phone 305 749-6189
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Physician Office
Lab Director GRETEL FRANCH

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