10D2247423 CLIA NUMBER - MEDICAL WELLNESS CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2247423
  • Facility Name: MEDICAL WELLNESS CENTER LLC
  • Facility Address: 10031 SW 40TH ST
    MIAMI, FL
    ZIP 33165
  • Facility Phone: 786 422-9628
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE A. GUERRA - VALENCIA
  • NPI Number: 1013245265
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2247423
LAB Type Physician Office
Facility Name MEDICAL WELLNESS CENTER LLC
Street 10031 SW 40TH ST
City MIAMI
State FL
ZIP 33165
Phone 786 422-9628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Physician Office
Lab Director JOSE A. GUERRA - VALENCIA

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