10D2290444 CLIA NUMBER - MEDTOUR 2 LLC DBA DORAL PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2290444
  • Facility Name: MEDTOUR 2 LLC DBA DORAL PRIMARY CARE
  • Facility Address: 10305 NW 41 STREET, STE 203
    DORAL, FL
    ZIP 33178
  • Facility Phone: 786 780-1180
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ANDREA C. URDANETA
  • NPI Number: 1538853395
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2290444
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MEDTOUR 2 LLC DBA DORAL PRIMARY CARE
Street 10305 NW 41 STREET, STE 203
City DORAL
State FL
ZIP 33178
Phone 786 780-1180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ANDREA C. URDANETA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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