10D2301732 CLIA NUMBER - KIRAN THERAPY LLC

Laboratory Demographics

  • CLIA Code: 10D2301732
  • Facility Name: KIRAN THERAPY LLC
  • Facility Address: 3115 NW 10TH TERRACE SUITE 104
    OAKLAND PARK, FL
    ZIP 33309
  • Facility Phone: 954 799-4619
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: GEORGE SAMUEL
  • NPI Number: 1841091345
  • Taxonomy: 202D00000X - Integrative Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2301732
LAB Type Mobile Laboratory
Facility Name KIRAN THERAPY LLC
Street 3115 NW 10TH TERRACE SUITE 104
City OAKLAND PARK
State FL
ZIP 33309
Phone 954 799-4619
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Mobile Laboratory
Lab Director GEORGE SAMUEL

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