10D0975937 CLIA NUMBER - MAXHEALTH

Laboratory Demographics

  • CLIA Code: 10D0975937
  • Facility Name: MAXHEALTH
  • Facility Address: 1211 JACARANDA BLVD - STE 2
    VENICE, FL
    ZIP 34292
  • Facility Phone: 941 483-3377
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC LOUGH
  • NPI Number: 1760028641
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0975937
LAB Type Physician Office
Facility Name MAXHEALTH
Street 1211 JACARANDA BLVD - STE 2
City VENICE
State FL
ZIP 34292
Phone 941 483-3377
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 ERIC LOUGH

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