10D0667148 CLIA NUMBER - MARVIN WELLEN MD

Laboratory Demographics

  • CLIA Code: 10D0667148
  • Facility Name: MARVIN WELLEN MD
  • Facility Address: 17971 BISCAYNE BLVD SUITE 208
    NORTH MIAMI BEACH, FL
    ZIP 33160
  • Facility Phone: 305 931-0555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARVIN D. WELLEN MD
  • NPI Number: 1518981075
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0667148
LAB Type Physician Office
Facility Name MARVIN WELLEN MD
Street 17971 BISCAYNE BLVD SUITE 208
City NORTH MIAMI BEACH
State FL
ZIP 33160
Phone 305 931-0555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MARVIN D. WELLEN MD

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