10D1045690 CLIA NUMBER - WELL BALANCED HEALTHCARE, LLC

Laboratory Demographics

CLIA Number: 10D1045690

Facility Name: WELL BALANCED HEALTHCARE, LLC

Facility Address:
6440 W NEWBERRY RD STE 409
GAINESVILLE, FL
ZIP 32605
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Facility Phone Number: 352 333-6161

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1912534884

Taxonomy: 207VF0040X - Obstetrics & Gynecology
An obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

CLIA Record

Field Name	Field Value
CLIA Number	10D1045690
LAB Type	Physician Office
Facility Name	WELL BALANCED HEALTHCARE, LLC
Street	6440 W NEWBERRY RD STE 409
City	GAINESVILLE
State	FL
ZIP	32605
Phone	352 333-6161
CertificateType	3
CertificateEffectiveDate	11/1/2022
CertificateExpirationDate	10/31/2024
FacilityType	PPMP

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