10D2321966 CLIA NUMBER - BLESSING PEDIATRIC CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2321966
  • Facility Name: BLESSING PEDIATRIC CARE LLC
  • Facility Address: 1250 SW 27 AVE, SUITE 206
    MIAMI, FL
    ZIP 33135
  • Facility Phone: 305 317-4082
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ODALMIS FERNANDEZ DE LA ROSA
  • NPI Number: 1558180356
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2321966
LAB Type Physician Office
Facility Name BLESSING PEDIATRIC CARE LLC
Street 1250 SW 27 AVE, SUITE 206
City MIAMI
State FL
ZIP 33135
Phone 305 317-4082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director ODALMIS FERNANDEZ DE LA ROSA

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