10D2221692 CLIA NUMBER - MEDICAL ESSENTIALS LLC

Laboratory Demographics

  • CLIA Code: 10D2221692
  • Facility Name: MEDICAL ESSENTIALS LLC
  • Facility Address: 306 W MANGO STREET
    LANTANA, FL
    ZIP 33462
  • Facility Phone: 954 297-9802
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JOSE R. RODRIGUEZ-DIAZ
  • NPI Number: 1942880943
  • Taxonomy: 2083P0901X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2221692
LAB Type Community Clinic
Facility Name MEDICAL ESSENTIALS LLC
Street 306 W MANGO STREET
City LANTANA
State FL
ZIP 33462
Phone 954 297-9802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Community Clinic
Lab Director JOSE R. RODRIGUEZ-DIAZ

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