10D2322018 CLIA NUMBER - EVOLUTION MEDICAL CENTERS, INC

Laboratory Demographics

  • CLIA Code: 10D2322018
  • Facility Name: EVOLUTION MEDICAL CENTERS, INC
  • Facility Address: 7500 NW 25 STREET SUITE 240
    MIAMI, FL
    ZIP 33122
  • Facility Phone: 786 706-1216
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA R. FUMERO
  • NPI Number: 1255135448
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2322018
LAB Type Physician Office
Facility Name EVOLUTION MEDICAL CENTERS, INC
Street 7500 NW 25 STREET SUITE 240
City MIAMI
State FL
ZIP 33122
Phone 786 706-1216
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 LAURA R. FUMERO

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