10D2219506 CLIA NUMBER - REGENERATE PRIMARY MEDICAL RESEARCH LLC

Laboratory Demographics

  • CLIA Code: 10D2219506
  • Facility Name: REGENERATE PRIMARY MEDICAL RESEARCH LLC
  • Facility Address: 8485 SW 40TH ST, STE 306
    MIAMI, FL
    ZIP 33155
  • Facility Phone: (305) 663-1113
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA T. BERTOLI
  • NPI Number: 1851903223
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2219506
LAB Type Physician Office
Facility Name REGENERATE PRIMARY MEDICAL RESEARCH LLC
Street 8485 SW 40TH ST, STE 306
City MIAMI
State FL
ZIP 33155
Phone 3056631113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Physician Office
Lab Director MARIA T. BERTOLI

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