10D2304669 CLIA NUMBER - UNIVERSAL AXON CLINICAL RESEARCH LLC

Laboratory Demographics

  • CLIA Code: 10D2304669
  • Facility Name: UNIVERSAL AXON CLINICAL RESEARCH LLC
  • Facility Address: 3650 NW 82ND AVE SUITE 208
    DORAL, FL
    ZIP 33166
  • Facility Phone: 305 677-9267
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS MARTINEZ
  • NPI Number: 1184998544
  • Taxonomy: 273Y00000X - Rehabilitation Unit

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CLIA Record

Field Name Field Value
CLIA Number 10D2304669
LAB Type Physician Office
Facility Name UNIVERSAL AXON CLINICAL RESEARCH LLC
Street 3650 NW 82ND AVE SUITE 208
City DORAL
State FL
ZIP 33166
Phone 305 677-9267
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director LUIS MARTINEZ

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