10D2056587 CLIA NUMBER - GUIDING LIGHT WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 10D2056587
  • Facility Name: GUIDING LIGHT WELLNESS CENTER
  • Facility Address: 3319 SR 7 STE 210
    WELLINGTON, FL
    ZIP 33449
  • Facility Phone: 561 422-3314
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JODI E. STAR
  • NPI Number: 1285763441
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2056587
LAB Type Physician Office
Facility Name GUIDING LIGHT WELLNESS CENTER
Street 3319 SR 7 STE 210
City WELLINGTON
State FL
ZIP 33449
Phone 561 422-3314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director JODI E. STAR

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This page was last updated on: 6/4/2025