10D2318883 CLIA NUMBER - JMG SPECIALTY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 10D2318883
  • Facility Name: JMG SPECIALTY PHYSICIANS
  • Facility Address: 15155 SW 97TH AVENUE SUITE 200
    MIAMI, FL
    ZIP 33176
  • Facility Phone: 305 256-4334
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY RICH
  • NPI Number: 1164198552
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2318883
LAB Type Physician Office
Facility Name JMG SPECIALTY PHYSICIANS
Street 15155 SW 97TH AVENUE SUITE 200
City MIAMI
State FL
ZIP 33176
Phone 305 256-4334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director JEFFREY RICH

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This page was last updated on: 6/4/2025