10D2263538 CLIA NUMBER - INTYMA LLC

Laboratory Demographics

  • CLIA Code: 10D2263538
  • Facility Name: INTYMA LLC
  • Facility Address: 11430 SW 88TH ST, STE 108
    MIAMI, FL
    ZIP 33176
  • Facility Phone: 305 677-3578
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BRISEIDA GORDILLO
  • NPI Number: 1588306948
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2263538
LAB Type Practitioner Other
Facility Name INTYMA LLC
Street 11430 SW 88TH ST, STE 108
City MIAMI
State FL
ZIP 33176
Phone 305 677-3578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Practitioner Other
Lab Director BRISEIDA GORDILLO

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