10D2264988 CLIA NUMBER - DIVERSE CLINICAL RESEARCH, LLC

Laboratory Demographics

  • CLIA Code: 10D2264988
  • Facility Name: DIVERSE CLINICAL RESEARCH, LLC
  • Facility Address: 12859 SW 42ND STREET, STE 12859
    MIAMI, FL
    ZIP 33175
  • Facility Phone: 305 582-7752
  • Facility Type: Other - RESEARCH
  • Facility Type: Waiver
  • Lab Director: ARAMIS RODRIGUEZ
  • NPI Number: 1548908643
  • Taxonomy: 1744R1102X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2264988
LAB Type Other - RESEARCH
Facility Name DIVERSE CLINICAL RESEARCH, LLC
Street 12859 SW 42ND STREET, STE 12859
City MIAMI
State FL
ZIP 33175
Phone 305 582-7752
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Other - RESEARCH
Lab Director ARAMIS RODRIGUEZ

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