10D2317169 CLIA NUMBER - DNA COMPREHENSIVE THERAPY SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 10D2317169
  • Facility Name: DNA COMPREHENSIVE THERAPY SERVICES, LLC
  • Facility Address: 1602 OAKFIELD DR - STE 205
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 655-6367
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR RIECHE
  • NPI Number: 1487327540
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2317169
LAB Type Physician Office
Facility Name DNA COMPREHENSIVE THERAPY SERVICES, LLC
Street 1602 OAKFIELD DR - STE 205
City BRANDON
State FL
ZIP 33511
Phone 813 655-6367
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Physician Office
Lab Director OMAR RIECHE

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