10D2286939 CLIA NUMBER - QUEEN'S SKIN CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2286939
  • Facility Name: QUEEN'S SKIN CARE LLC
  • Facility Address: 7171 CORAL WAY, STE 104
    MIAMI, FL
    ZIP 33155
  • Facility Phone: 786 238-8645
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAURA MAEDELIN MAIDIQUE ROJAS
  • NPI Number: 1619748761
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2286939
LAB Type Physician Office
Facility Name QUEEN'S SKIN CARE LLC
Street 7171 CORAL WAY, STE 104
City MIAMI
State FL
ZIP 33155
Phone 786 238-8645
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director MAURA MAEDELIN MAIDIQUE ROJAS

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