10D2307408 CLIA NUMBER - VITAL PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 10D2307408
  • Facility Name: VITAL PRIMARY CARE, LLC
  • Facility Address: 330 SW 27TH AVE - STE 509
    MIAMI, FL
    ZIP 33135
  • Facility Phone: 305 541-9709
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NURIA DE LA PORTILLA
  • NPI Number: 1427882414
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2307408
LAB Type Physician Office
Facility Name VITAL PRIMARY CARE, LLC
Street 330 SW 27TH AVE - STE 509
City MIAMI
State FL
ZIP 33135
Phone 305 541-9709
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director NURIA DE LA PORTILLA

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