10D2067272 CLIA NUMBER - PRO LIVE MEDICAL RESEACH CORP

Laboratory Demographics

  • CLIA Code: 10D2067272
  • Facility Name: PRO LIVE MEDICAL RESEACH CORP
  • Facility Address: 12781 SW 42 ST STE I
    MIAMI, FL
    ZIP 33175
  • Facility Phone: 305 221-8001
  • Facility Type: Other - CLINICAL RESEARCH
  • Facility Type: Waiver
  • Lab Director: ROBERTS DIAZ
  • NPI Number: 1336656495
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2067272
LAB Type Other - CLINICAL RESEARCH
Facility Name PRO LIVE MEDICAL RESEACH CORP
Street 12781 SW 42 ST STE I
City MIAMI
State FL
ZIP 33175
Phone 305 221-8001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Other - CLINICAL RESEARCH
Lab Director ROBERTS DIAZ

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