10D1039255 CLIA NUMBER - RODOLFO TREJO MD

Laboratory Demographics

  • CLIA Code: 10D1039255
  • Facility Name: RODOLFO TREJO MD
  • Facility Address: 180 JFK DR STE 250
    ATLANTIS, FL
    ZIP 33462
  • Facility Phone: 561 969-1777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODOLFO TREJO
  • NPI Number: 1750335584
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1039255
LAB Type Physician Office
Facility Name RODOLFO TREJO MD
Street 180 JFK DR STE 250
City ATLANTIS
State FL
ZIP 33462
Phone 561 969-1777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director RODOLFO TREJO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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