10D2077840 CLIA NUMBER - VITAL PHARMA RESEARCH INC

Laboratory Demographics

  • CLIA Code: 10D2077840
  • Facility Name: VITAL PHARMA RESEARCH INC
  • Facility Address: 2300 W 84 ST STE 303
    HIALEAH, FL
    ZIP 33016
  • Facility Phone: 786 566-0592
  • Facility Type: Other - RESEARCH FACILITY
  • Facility Type: Waiver
  • Lab Director: DR. ALTAGRACIA VICTORIA
  • NPI Number: 1508277328
  • Taxonomy: 1744R1102X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2077840
LAB Type Other - RESEARCH FACILITY
Facility Name VITAL PHARMA RESEARCH INC
Street 2300 W 84 ST STE 303
City HIALEAH
State FL
ZIP 33016
Phone 786 566-0592
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Other - RESEARCH FACILITY
Lab Director DR. ALTAGRACIA VICTORIA

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