10D2297448 CLIA NUMBER - ICONIC CLINICAL RESEARCH

Laboratory Demographics

  • CLIA Code: 10D2297448
  • Facility Name: ICONIC CLINICAL RESEARCH
  • Facility Address: 351 NW 42ND AVE UNIT 204
    MIAMI, FL
    ZIP 33126
  • Facility Phone: 786 894-0155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISABEL RICO
  • NPI Number: 1558197525
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2297448
LAB Type Physician Office
Facility Name ICONIC CLINICAL RESEARCH
Street 351 NW 42ND AVE UNIT 204
City MIAMI
State FL
ZIP 33126
Phone 786 894-0155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director ISABEL RICO

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