10D2193430 CLIA NUMBER - WEST THERAPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2193430
  • Facility Name: WEST THERAPY CENTER LLC
  • Facility Address: 175 FOUNTAINEBLEAU STE 2G-11
    MIAMI, FL
    ZIP 33172
  • Facility Phone: 786 870-5931
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NESTOR M. PEREZ
  • NPI Number: 1316573462
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2193430
LAB Type Physician Office
Facility Name WEST THERAPY CENTER LLC
Street 175 FOUNTAINEBLEAU STE 2G-11
City MIAMI
State FL
ZIP 33172
Phone 786 870-5931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director NESTOR M. PEREZ

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