10D2208276 CLIA NUMBER - REDTAG-19 LLC

Laboratory Demographics

  • CLIA Code: 10D2208276
  • Facility Name: REDTAG-19 LLC
  • Facility Address: 8765 WATERCREST CIRCLE EAST
    PARKLAND, FL
    ZIP 33076
  • Facility Phone: 954 482-3740
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: LATA SHINTRE
  • NPI Number: 1942806260
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2208276
LAB Type Mobile Laboratory
Facility Name REDTAG-19 LLC
Street 8765 WATERCREST CIRCLE EAST
City PARKLAND
State FL
ZIP 33076
Phone 954 482-3740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Mobile Laboratory
Lab Director LATA SHINTRE

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