10D2258833 CLIA NUMBER - WELLNESS RESEARCH CENTER INC

Laboratory Demographics

  • CLIA Code: 10D2258833
  • Facility Name: WELLNESS RESEARCH CENTER INC
  • Facility Address: 1901 SW 1ST STREET SUITE 208
    MIAMI, FL
    ZIP 33135
  • Facility Phone: 786 238-7099
  • Facility Type: Other - CLINICAL RESEARCH CENTER
  • Facility Type: Microscopy
  • Lab Director: EMILIO MANTERO-ATIENZA
  • NPI Number: 1679128649
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 10D2258833
LAB Type Other - CLINICAL RESEARCH CENTER
Facility Name WELLNESS RESEARCH CENTER INC
Street 1901 SW 1ST STREET SUITE 208
City MIAMI
State FL
ZIP 33135
Phone 786 238-7099
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Other - CLINICAL RESEARCH CENTER
Lab Director EMILIO MANTERO-ATIENZA

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