10D2242790 CLIA NUMBER - ST JUDE CLINICAL RESEARCH, LLC

Laboratory Demographics

  • CLIA Code: 10D2242790
  • Facility Name: ST JUDE CLINICAL RESEARCH, LLC
  • Facility Address: 10450 NW 33RD ST, SUITE 409
    DORAL, FL
    ZIP 33172
  • Facility Phone: 305 507-2273
  • Facility Type: Other - CLNICAL RESEARCH CENTER
  • Facility Type: Waiver
  • Lab Director: GUSTAVO TORRES
  • NPI Number: 1447938782
  • Taxonomy: 261QR1100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2242790
LAB Type Other - CLNICAL RESEARCH CENTER
Facility Name ST JUDE CLINICAL RESEARCH, LLC
Street 10450 NW 33RD ST, SUITE 409
City DORAL
State FL
ZIP 33172
Phone 305 507-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Other - CLNICAL RESEARCH CENTER
Lab Director GUSTAVO TORRES

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