10D2077840 CLIA NUMBER - VITAL PHARMA RESEARCH INC

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Laboratory Demographics

CLIA Number: 10D2077840

Facility Name: VITAL PHARMA RESEARCH INC

Facility Address:
2300 W 84 ST STE 303
HIALEAH, FL
ZIP 33016
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Facility Phone Number: 786 566-0592

Facility Type: Other - RESEARCH FACILITY

Certificate Type: Waiver

NPI Number: 1508277328

Taxonomy: 1744R1102X - Specialist

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
CertificateType	4
CertificateEffectiveDate	5/15/2022
CertificateExpirationDate	5/14/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024