10D2299065 CLIA NUMBER - LESTHETIQUE RESEARCH AND MEDICAL CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D2299065
  • Facility Name: LESTHETIQUE RESEARCH AND MEDICAL CENTER, LLC
  • Facility Address: 10540 NW 26TH ST, STE G201
    DORAL, FL
    ZIP 33172
  • Facility Phone: 786 879-8040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADIARIS VALLE
  • NPI Number: 1790438463
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2299065
LAB Type Physician Office
Facility Name LESTHETIQUE RESEARCH AND MEDICAL CENTER, LLC
Street 10540 NW 26TH ST, STE G201
City DORAL
State FL
ZIP 33172
Phone 786 879-8040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Physician Office
Lab Director ADIARIS VALLE

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