CLIA lab

CLIA 10D0928616: Maria A Carballosa MD PA

Hialeah, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D0928616 belongs to Maria A Carballosa MD PA in Hialeah, FL.

Certificate of Waiver, effective September 15, 2025, expires September 14, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 15, 2025
Certificate expiration
September 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 22, 1997
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D0928616
Lab name
Maria A Carballosa MD PA
Address
4395 Palm Avenue, Hialeah, FL 33012
Phone
(305) 821-3944
Fax
(305) 821-8301

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Maria A Carballosa MD PA in Hialeah?

10D0928616, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Maria A Carballosa MD PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D0928616 expire?

The CMS file lists September 14, 2027 as the certificate expiration date; the certificate took effect September 15, 2025.

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