10D2325208 CLIA NUMBER - COMPREHENSIVE CLINICAL CENTER CORP

Laboratory Demographics

  • CLIA Code: 10D2325208
  • Facility Name: COMPREHENSIVE CLINICAL CENTER CORP
  • Facility Address: 10201 HAMMOCKS BLVD, SUITE 122
    MIAMI, FL
    ZIP 33196
  • Facility Phone: 786 701-8702
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MERCEDES PONCE DE LEON
  • NPI Number: 1275281461
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2325208
LAB Type Physician Office
Facility Name COMPREHENSIVE CLINICAL CENTER CORP
Street 10201 HAMMOCKS BLVD, SUITE 122
City MIAMI
State FL
ZIP 33196
Phone 786 701-8702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Physician Office
Lab Director MERCEDES PONCE DE LEON

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