10D0919389 CLIA NUMBER - LIFEWAY INC

Laboratory Demographics

  • CLIA Code: 10D0919389
  • Facility Name: LIFEWAY INC
  • Facility Address: 5333 N DIXIE HWY STE 110
    FORT LAUDERDALE, FL
    ZIP 33334
  • Facility Phone: 954 772-8554
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARAH J. LEE
  • NPI Number: 1568477156
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0919389
LAB Type Physician Office
Facility Name LIFEWAY INC
Street 5333 N DIXIE HWY STE 110
City FORT LAUDERDALE
State FL
ZIP 33334
Phone 954 772-8554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director MARAH J. LEE

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