10D2325075 CLIA NUMBER - GESA MEDICAL CENTER CORP

Laboratory Demographics

  • CLIA Code: 10D2325075
  • Facility Name: GESA MEDICAL CENTER CORP
  • Facility Address: 3850 SW 87TH AVE SUITE 305
    MIAMI, FL
    ZIP 33165
  • Facility Phone: 305 845-7787
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT KIM
  • NPI Number: 1063201234
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2325075
LAB Type Physician Office
Facility Name GESA MEDICAL CENTER CORP
Street 3850 SW 87TH AVE SUITE 305
City MIAMI
State FL
ZIP 33165
Phone 305 845-7787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director ROBERT KIM

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