10D2104134 CLIA NUMBER - AGAPEMD LLC

Laboratory Demographics

  • CLIA Code: 10D2104134
  • Facility Name: AGAPEMD LLC
  • Facility Address: 90130 OLD HIGHWAY
    TAVERNIER, FL
    ZIP 33070
  • Facility Phone: 305 852-9300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BETHZAIRA DIAZ
  • NPI Number: 1639561186
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2104134
LAB Type Physician Office
Facility Name AGAPEMD LLC
Street 90130 OLD HIGHWAY
City TAVERNIER
State FL
ZIP 33070
Phone 305 852-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Physician Office
Lab Director BETHZAIRA DIAZ

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