10D2105154 CLIA NUMBER - RT DIAGNOSTIC INC

Laboratory Demographics

  • CLIA Code: 10D2105154
  • Facility Name: RT DIAGNOSTIC INC
  • Facility Address: 8415 SW 24TH ST STE 203
    MIAMI, FL
    ZIP 33155
  • Facility Phone: 305 559-2121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE PAOLI BRUNO
  • NPI Number: 1275651291
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2105154
LAB Type Physician Office
Facility Name RT DIAGNOSTIC INC
Street 8415 SW 24TH ST STE 203
City MIAMI
State FL
ZIP 33155
Phone 305 559-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Physician Office
Lab Director JORGE PAOLI BRUNO

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