10D2236491 CLIA NUMBER - DNA COMPREHENSIVE THERAPY SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2236491
  • Facility Name: DNA COMPREHENSIVE THERAPY SERVICES LLC
  • Facility Address: 12015 WHITMARSH LANE
    TAMPA, FL
    ZIP 33626
  • Facility Phone: 239 236-8784
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR RIECHE
  • NPI Number: 1720752041
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2236491
LAB Type Physician Office
Facility Name DNA COMPREHENSIVE THERAPY SERVICES LLC
Street 12015 WHITMARSH LANE
City TAMPA
State FL
ZIP 33626
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 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Physician Office
Lab Director OMAR RIECHE

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