10D2323311 CLIA NUMBER - MEDICAL & MENTAL SERVICES INC

Laboratory Demographics

  • CLIA Code: 10D2323311
  • Facility Name: MEDICAL & MENTAL SERVICES INC
  • Facility Address: 777 E 25TH ST STE 212
    HIALEAH, FL
    ZIP 33013
  • Facility Phone: 786 409-7329
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GABRIEL BETANCOURT
  • NPI Number: 1437106200
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2323311
LAB Type Physician Office
Facility Name MEDICAL & MENTAL SERVICES INC
Street 777 E 25TH ST STE 212
City HIALEAH
State FL
ZIP 33013
Phone 786 409-7329
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Physician Office
Lab Director GABRIEL BETANCOURT

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