10D2141810 CLIA NUMBER - REJUVEUNIQUE, INC

Laboratory Demographics

  • CLIA Code: 10D2141810
  • Facility Name: REJUVEUNIQUE, INC
  • Facility Address: 4259 10TH AVENUE NORTH
    PALM SPRINGS, FL
    ZIP 33461
  • Facility Phone: 239 226-0910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL MORRIS JACOBS
  • NPI Number: 1962917153
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2141810
LAB Type Physician Office
Facility Name REJUVEUNIQUE, INC
Street 4259 10TH AVENUE NORTH
City PALM SPRINGS
State FL
ZIP 33461
Phone 239 226-0910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director DANIEL MORRIS JACOBS

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