10D2203072 CLIA NUMBER - RESIDENTIAL PLAZA AT BLUE LAGOON INC

Laboratory Demographics

  • CLIA Code: 10D2203072
  • Facility Name: RESIDENTIAL PLAZA AT BLUE LAGOON INC
  • Facility Address: 5617 NW 7TH ST
    MIAMI, FL
    ZIP 33126
  • Facility Phone: 305 267-2227
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BARBARA GALINDO
  • NPI Number: 1548546559
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2203072
LAB Type Assisted Living Facility
Facility Name RESIDENTIAL PLAZA AT BLUE LAGOON INC
Street 5617 NW 7TH ST
City MIAMI
State FL
ZIP 33126
Phone 305 267-2227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Assisted Living Facility
Lab Director BARBARA GALINDO

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This page was last updated on: 6/4/2025