SD GLOW AND HEALTH LLC
NPI 1710653894
General Practice in Miami, FL

Active since August 19, 2021CLIA 10D2234414 · Waiver
3624 NW 36TH ST, MIAMI, FL 33142(305) 773-3971 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sd Glow And Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SD GLOW AND HEALTH LLC (NPI 1710653894) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Sarai Gendriz, Owner, as its authorized official.

NPPES Registry Identity

NPI1710653894
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSD GLOW AND HEALTH LLC
Location Address3624 NW 36TH STMiami, FL 33142-4914
Mailing Address3624 Nw 36th StMiami, FL 33142-4914
Organization SubpartNo
Authorized OfficialSarai GendrizOwner · (305) 251-2500
Enumeration DateAugust 19, 2021
Last NPPES UpdateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
NPI 1710653894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3624 NW 36TH ST, Miami, FL 33142

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2234414

Sd Glow And Health LLC · Miami, FL
Active · expires Aug 30, 2027
CLIA Number10D2234414
Laboratory TypeMobile Laboratory
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorSarai Gendriz
Laboratory Phone(305) 773-3971
Laboratory LocationSd Glow And Health LLC22735 SW 110 Ave, Miami, FL 33170
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3624 NW 36TH ST
MIAMI, FL 33142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sd Glow And Health LLC's NPI number?

The NPI number for Sd Glow And Health LLC is 1710653894. It was assigned to this organization in the NPPES registry on August 19, 2021.

Where is Sd Glow And Health LLC located?

Sd Glow And Health LLC is located at 3624 NW 36th St, Miami, FL 33142. The listed phone number is (305) 773-3971.

What is Sd Glow And Health LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Sd Glow And Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2234414) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sd Glow And Health LLC was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.