10D2323019 CLIA NUMBER - CAREWELL CLINIC CORP DBA VIDA MEDICAL CENTERS OF MIAMI LAKES

Laboratory Demographics

  • CLIA Code: 10D2323019
  • Facility Name: CAREWELL CLINIC CORP DBA VIDA MEDICAL CENTERS OF MIAMI LAKES
  • Facility Address: 14901 NW 79TH CT
    MIAMI LAKES, FL
    ZIP 33016
  • Facility Phone: 786 936-8432
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDY LOPEZ
  • NPI Number: 1912734047
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2323019
LAB Type Physician Office
Facility Name CAREWELL CLINIC CORP DBA VIDA MEDICAL CENTERS OF MIAMI LAKES
Street 14901 NW 79TH CT
City MIAMI LAKES
State FL
ZIP 33016
Phone 786 936-8432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director SANDY LOPEZ

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