10D1051238 CLIA NUMBER - CHOICE WELLNESS LLC

Laboratory Demographics

CLIA Number: 10D1051238

Facility Name: CHOICE WELLNESS LLC

Facility Address:
26212 US HWY 19 N
CLEARWATER, FL
ZIP 33761
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Facility Phone Number: 727 230-1438

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215201157

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D1051238
LAB Type	Physician Office
Facility Name	CHOICE WELLNESS LLC
Street	26212 US HWY 19 N
City	CLEARWATER
State	FL
ZIP	33761
Phone	727 230-1438
CertificateType	4
CertificateEffectiveDate	11/3/2022
CertificateExpirationDate	11/2/2024
FacilityType	Waiver

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