10D2186002 CLIA NUMBER - EVIVIA

Laboratory Demographics

  • CLIA Code: 10D2186002
  • Facility Name: EVIVIA
  • Facility Address: 1370 WASHINGTON AVE STE 224
    MIAMI BEACH, FL
    ZIP 33139
  • Facility Phone: 305 331-0861
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANTONINA EREMENKO
  • NPI Number: 1336762327
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2186002
LAB Type Practitioner Other
Facility Name EVIVIA
Street 1370 WASHINGTON AVE STE 224
City MIAMI BEACH
State FL
ZIP 33139
Phone 305 331-0861
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Practitioner Other
Lab Director ANTONINA EREMENKO

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