10D2205020 CLIA NUMBER - DNA COMPREHENSIVE THERAPY SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2205020
  • Facility Name: DNA COMPREHENSIVE THERAPY SERVICES LLC
  • Facility Address: 2625 EXECUTIVE PARK DR STE 5
    WESTON, FL
    ZIP 33331
  • Facility Phone: 239 236-8784
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR RIECHE
  • NPI Number: 1063964484
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 10D2205020
LAB Type Physician Office
Facility Name DNA COMPREHENSIVE THERAPY SERVICES LLC
Street 2625 EXECUTIVE PARK DR STE 5
City WESTON
State FL
ZIP 33331
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 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Physician Office
Lab Director OMAR RIECHE

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