10D2314634 CLIA NUMBER - PURA WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 10D2314634
  • Facility Name: PURA WELLNESS LLC
  • Facility Address: 9600 NW 25TH ST SUITE 5F
    DORAL, FL
    ZIP 33172
  • Facility Phone: (561) 367-5012
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAVIER E. SANCHEZ
  • NPI Number: 1154153567
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2314634
LAB Type Physician Office
Facility Name PURA WELLNESS LLC
Street 9600 NW 25TH ST SUITE 5F
City DORAL
State FL
ZIP 33172
Phone 5613675012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Physician Office
Lab Director JAVIER E. SANCHEZ

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This page was last updated on: 5/18/2026