10D2318907 CLIA NUMBER - KENNETH B SHEPHARD MD PA

Laboratory Demographics

  • CLIA Code: 10D2318907
  • Facility Name: KENNETH B SHEPHARD MD PA
  • Facility Address: 2828 SW 22ND STREET SUITE 309
    MIAMI, FL
    ZIP 33145
  • Facility Phone: 305 273-1919
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS E. AUGSTEN
  • NPI Number: 1568411262
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2318907
LAB Type Physician Office
Facility Name KENNETH B SHEPHARD MD PA
Street 2828 SW 22ND STREET SUITE 309
City MIAMI
State FL
ZIP 33145
Phone 305 273-1919
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 LUIS E. AUGSTEN

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