10D2132122 CLIA NUMBER - ELITE DNA THERAPY SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 10D2132122
  • Facility Name: ELITE DNA THERAPY SERVICES, LLC
  • Facility Address: 2230 VENETIAN COURT STE 1
    NAPLES, FL
    ZIP 34109
  • Facility Phone: 239 236-8784
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR RIECHE
  • NPI Number: 1740650522
  • Taxonomy: 225X00000X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 10D2132122
LAB Type Physician Office
Facility Name ELITE DNA THERAPY SERVICES, LLC
Street 2230 VENETIAN COURT STE 1
City NAPLES
State FL
ZIP 34109
Phone 239 236-8784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Physician Office
Lab Director OMAR RIECHE

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