10D2321628 CLIA NUMBER - MAURIN JIMENEZ MD PA

Laboratory Demographics

  • CLIA Code: 10D2321628
  • Facility Name: MAURIN JIMENEZ MD PA
  • Facility Address: 962 SW 82ND AVE
    MIAMI, FL
    ZIP 33144
  • Facility Phone: 786 619-3360
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAURIN JIMENEZ
  • NPI Number: 1982783353
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2321628
LAB Type Physician Office
Facility Name MAURIN JIMENEZ MD PA
Street 962 SW 82ND AVE
City MIAMI
State FL
ZIP 33144
Phone 786 619-3360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Physician Office
Lab Director MAURIN JIMENEZ

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