10D2198149 CLIA NUMBER - DNA COMPREHENSIVE THERAPY SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2198149
  • Facility Name: DNA COMPREHENSIVE THERAPY SERVICES LLC
  • Facility Address: 2055 REYKO RD STE 100,
    JACKSONVILLE, FL
    ZIP 32207
  • Facility Phone: (813) 655-6367
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RIECHE OMAR
  • NPI Number: 1316363757
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2198149
LAB Type Physician Office
Facility Name DNA COMPREHENSIVE THERAPY SERVICES LLC
Street 2055 REYKO RD STE 100,
City JACKSONVILLE
State FL
ZIP 32207
Phone 8136556367
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director RIECHE OMAR

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This page was last updated on: 5/18/2026