10D1020546 CLIA NUMBER - NATIONAL HEALTH SCREEN LLC DBA HEALTH & WELLNESS PROFESSIONALS

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Laboratory Demographics

CLIA Number: 10D1020546

Facility Name: NATIONAL HEALTH SCREEN LLC DBA HEALTH & WELLNESS PROFESSIONALS

Facility Address:
12425 28TH STREET N STE 101
SAINT PETERSBURG, FL
ZIP 33716
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Facility Phone Number: 727 669-4551

Facility Type: Health Fair

Certificate Type: Waiver

NPI Number: 1982852992

Taxonomy: 261QC1800X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1020546
LAB Type	Health Fair
Facility Name	NATIONAL HEALTH SCREEN LLC DBA HEALTH & WELLNESS PROFESSIONALS
Street	12425 28TH STREET N STE 101
City	SAINT PETERSBURG
State	FL
ZIP	33716
Phone	727 669-4551
CertificateType	4
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024