10D2013318 CLIA NUMBER - TOTAL VITALITY MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2013318
  • Facility Name: TOTAL VITALITY MEDICAL GROUP LLC
  • Facility Address: 24945 US HWY 19 N
    CLEARWATER, FL
    ZIP 33763
  • Facility Phone: 727 726-1460
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID WOLSTEIN
  • NPI Number: 1366672057
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2013318
LAB Type Physician Office
Facility Name TOTAL VITALITY MEDICAL GROUP LLC
Street 24945 US HWY 19 N
City CLEARWATER
State FL
ZIP 33763
Phone 727 726-1460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director DAVID WOLSTEIN

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