10D2045100 CLIA NUMBER - LETTY M VILLA MD LLC

Laboratory Demographics

  • CLIA Code: 10D2045100
  • Facility Name: LETTY M VILLA MD LLC
  • Facility Address: 6705 RED RD STE 420
    CORAL GABLES, FL
    ZIP 33143
  • Facility Phone: 305 667-8418
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LETTY M. VILLA
  • NPI Number: 1316057763
  • Taxonomy: 207VX0000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D2045100
LAB Type Physician Office
Facility Name LETTY M VILLA MD LLC
Street 6705 RED RD STE 420
City CORAL GABLES
State FL
ZIP 33143
Phone 305 667-8418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Physician Office
Lab Director LETTY M. VILLA

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