10D2319822 CLIA NUMBER - SANTA ANA MEDICAL CARE CENTER, INC

Laboratory Demographics

  • CLIA Code: 10D2319822
  • Facility Name: SANTA ANA MEDICAL CARE CENTER, INC
  • Facility Address: 3750 W 16 AVE, STE 104
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 305 200-5648
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM MAZZEI
  • NPI Number: 1619500105
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2319822
LAB Type Physician Office
Facility Name SANTA ANA MEDICAL CARE CENTER, INC
Street 3750 W 16 AVE, STE 104
City HIALEAH
State FL
ZIP 33012
Phone 305 200-5648
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Physician Office
Lab Director WILLIAM MAZZEI

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