10D2310602 CLIA NUMBER - SCULPTING VENUS INC

Laboratory Demographics

  • CLIA Code: 10D2310602
  • Facility Name: SCULPTING VENUS INC
  • Facility Address: 811 NE 125TH STREET
    NORTH MIAMI, FL
    ZIP 33161
  • Facility Phone: 305 624-1522
  • Facility Type: Other - OB GYN
  • Facility Type: Waiver
  • Lab Director: RAISA A. COCAR
  • NPI Number: 1851156020
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2310602
LAB Type Other - OB GYN
Facility Name SCULPTING VENUS INC
Street 811 NE 125TH STREET
City NORTH MIAMI
State FL
ZIP 33161
Phone 305 624-1522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Other - OB GYN
Lab Director RAISA A. COCAR

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