10D0670291 CLIA NUMBER - JUAN I RIVERA MD

Laboratory Demographics

  • CLIA Code: 10D0670291
  • Facility Name: JUAN I RIVERA MD
  • Facility Address: 315 E OLYMPIA AVE #111
    PUNTA GORDA, FL
    ZIP 33950
  • Facility Phone: 941 639-1640
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUAN I. RIVERA MD
  • NPI Number: 1396935037
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0670291
LAB Type Physician Office
Facility Name JUAN I RIVERA MD
Street 315 E OLYMPIA AVE #111
City PUNTA GORDA
State FL
ZIP 33950
Phone 941 639-1640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Physician Office
Lab Director JUAN I. RIVERA MD

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