10D0963876 CLIA NUMBER - CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER

Laboratory Demographics

  • CLIA Code: 10D0963876
  • Facility Name: CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER
  • Facility Address: 2257 US HWY 441 N STE A
    OKEECHOBEE, FL
    ZIP 34972
  • Facility Phone: 863 467-4788
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAHIR NAEEM
  • NPI Number: 1366462590
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0963876
LAB Type Physician Office
Facility Name CONVIVA MEDICAL CENTER MANAGEMENT LLC DBA CONVIVA CARE CENTER
Street 2257 US HWY 441 N STE A
City OKEECHOBEE
State FL
ZIP 34972
Phone 863 467-4788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Physician Office
Lab Director TAHIR NAEEM

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