10D2321051 CLIA NUMBER - DNA COMPREHENSIVE THERAPY SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2321051
  • Facility Name: DNA COMPREHENSIVE THERAPY SERVICES LLC
  • Facility Address: 285 CLYDE MORRIS BLVD STE 300
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 262-1627
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR RIECHE
  • NPI Number: 1104559848
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2321051
LAB Type Physician Office
Facility Name DNA COMPREHENSIVE THERAPY SERVICES LLC
Street 285 CLYDE MORRIS BLVD STE 300
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 262-1627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director OMAR RIECHE

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