10D2330382 CLIA NUMBER - SANTANDER MEDICAL CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2330382
  • Facility Name: SANTANDER MEDICAL CARE LLC
  • Facility Address: 175 FONTAINEBLEAU BLVD STE 2G
    MIAMI, FL
    ZIP 33172
  • Facility Phone: 786 947-5250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERESITA DE JESUS SANTANDER
  • NPI Number: 1235974825
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2330382
LAB Type Physician Office
Facility Name SANTANDER MEDICAL CARE LLC
Street 175 FONTAINEBLEAU BLVD STE 2G
City MIAMI
State FL
ZIP 33172
Phone 786 947-5250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director TERESITA DE JESUS SANTANDER

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