10D2255889 CLIA NUMBER - PINECREST TOTAL HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2255889
  • Facility Name: PINECREST TOTAL HEALTH LLC
  • Facility Address: 10420 SW 77TH AVE, SUITE 100
    MIAMI, FL
    ZIP 33156
  • Facility Phone: 786 860-5992
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIKA S. LARA
  • NPI Number: 1699709535
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2255889
LAB Type Physician Office
Facility Name PINECREST TOTAL HEALTH LLC
Street 10420 SW 77TH AVE, SUITE 100
City MIAMI
State FL
ZIP 33156
Phone 786 860-5992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Physician Office
Lab Director ERIKA S. LARA

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