10D2040500 CLIA NUMBER - JUAN J RIVERA MD PA

Laboratory Demographics

  • CLIA Code: 10D2040500
  • Facility Name: JUAN J RIVERA MD PA
  • Facility Address: 4308 ALTON RD STE 715
    MIAMI BEACH, FL
    ZIP 33140
  • Facility Phone: 305 604-1922
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUAN J. RIVERA
  • NPI Number: 1518012616
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2040500
LAB Type Physician Office
Facility Name JUAN J RIVERA MD PA
Street 4308 ALTON RD STE 715
City MIAMI BEACH
State FL
ZIP 33140
Phone 305 604-1922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Physician Office
Lab Director JUAN J. RIVERA

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