10D1094565 CLIA NUMBER - INSTITUTE FOR HORMONAL BALANCE LLC

Laboratory Demographics

CLIA Number: 10D1094565

Facility Name: INSTITUTE FOR HORMONAL BALANCE LLC

Facility Address:
7009 DR PHILLIPS BLVD STE 150
ORLANDO, FL
ZIP 32819
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Facility Phone Number: 407 363-9665

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417180795

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D1094565
LAB Type	Physician Office
Facility Name	INSTITUTE FOR HORMONAL BALANCE LLC
Street	7009 DR PHILLIPS BLVD STE 150
City	ORLANDO
State	FL
ZIP	32819
Phone	407 363-9665
CertificateType	4
CertificateEffectiveDate	1/22/2023
CertificateExpirationDate	1/21/2025
FacilityType	Waiver

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