10D2329258 CLIA NUMBER - EMPOWER MED CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2329258
  • Facility Name: EMPOWER MED CENTER LLC
  • Facility Address: 12750 NW 17TH ST, UNIT 109
    MIAMI, FL
    ZIP 33182
  • Facility Phone: 305 509-5590
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ERIC OSVALDO PANTALEON
  • NPI Number: 1235011040
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2329258
LAB Type Practitioner Other
Facility Name EMPOWER MED CENTER LLC
Street 12750 NW 17TH ST, UNIT 109
City MIAMI
State FL
ZIP 33182
Phone 305 509-5590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Practitioner Other
Lab Director ERIC OSVALDO PANTALEON

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