10D1046794 CLIA NUMBER - TRISTAR WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 10D1046794
  • Facility Name: TRISTAR WELLNESS, LLC
  • Facility Address: 400 WEST 41ST ST STE 402
    MIAMI BEACH, FL
    ZIP 33140
  • Facility Phone: 305 604-9595
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUDOLPH EBERWEIN
  • NPI Number: 1831723428
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1046794
LAB Type Physician Office
Facility Name TRISTAR WELLNESS, LLC
Street 400 WEST 41ST ST STE 402
City MIAMI BEACH
State FL
ZIP 33140
Phone 305 604-9595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Physician Office
Lab Director RUDOLPH EBERWEIN

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