10D2322877 CLIA NUMBER - MD MAX MEDICAL GROUP PLLC

Laboratory Demographics

  • CLIA Code: 10D2322877
  • Facility Name: MD MAX MEDICAL GROUP PLLC
  • Facility Address: 2601 SW 37TH AVE STE 802
    MIAMI, FL
    ZIP 33133
  • Facility Phone: 786 821-9857
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE E. SANDELIS PEREZ
  • NPI Number: 1518794676
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2322877
LAB Type Physician Office
Facility Name MD MAX MEDICAL GROUP PLLC
Street 2601 SW 37TH AVE STE 802
City MIAMI
State FL
ZIP 33133
Phone 786 821-9857
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Physician Office
Lab Director JORGE E. SANDELIS PEREZ

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