10D2116300 CLIA NUMBER - ST JOHN BOSCO CLINIC

Laboratory Demographics

  • CLIA Code: 10D2116300
  • Facility Name: ST JOHN BOSCO CLINIC
  • Facility Address: 730 NW 34TH ST
    MIAMI, FL
    ZIP 33127
  • Facility Phone: 305 635-1335
  • Facility Type: Other - FREE CLINIC
  • Facility Type: Waiver
  • Lab Director: RHEINCHARD REYES
  • NPI Number: 1497005276
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 10D2116300
LAB Type Other - FREE CLINIC
Facility Name ST JOHN BOSCO CLINIC
Street 730 NW 34TH ST
City MIAMI
State FL
ZIP 33127
Phone 305 635-1335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Other - FREE CLINIC
Lab Director RHEINCHARD REYES

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