10D2319218 CLIA NUMBER - MAX MED GROUP CORP

Laboratory Demographics

  • CLIA Code: 10D2319218
  • Facility Name: MAX MED GROUP CORP
  • Facility Address: 174 NE 8TH ST
    HOMESTEAD, FL
    ZIP 33030
  • Facility Phone: 786 404-3225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: XAVIER RAFAELLY
  • NPI Number: 1407687031
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2319218
LAB Type Physician Office
Facility Name MAX MED GROUP CORP
Street 174 NE 8TH ST
City HOMESTEAD
State FL
ZIP 33030
Phone 786 404-3225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Physician Office
Lab Director XAVIER RAFAELLY

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