10D2002986 CLIA NUMBER - MW WELLNESS I, LLC

Laboratory Demographics

  • CLIA Code: 10D2002986
  • Facility Name: MW WELLNESS I, LLC
  • Facility Address: 3202 WEST KENNEDY BLVD UNIT 2
    TAMPA, FL
    ZIP 33609
  • Facility Phone: 813 281-0500
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: VIGEL M. VARKEY
  • NPI Number: 1376998328
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2002986
LAB Type Practitioner Other
Facility Name MW WELLNESS I, LLC
Street 3202 WEST KENNEDY BLVD UNIT 2
City TAMPA
State FL
ZIP 33609
Phone 813 281-0500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Practitioner Other
Lab Director VIGEL M. VARKEY

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