10D2105381 CLIA NUMBER - RESTORE HEALTH URGENT CARE

Laboratory Demographics

  • CLIA Code: 10D2105381
  • Facility Name: RESTORE HEALTH URGENT CARE
  • Facility Address: 1840 ELDRON BLVD, SE STE 1
    PALM BAY, FL
    ZIP 32909
  • Facility Phone: 321 312-4580
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL HUSTED
  • NPI Number: 1609240779
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2105381
LAB Type Physician Office
Facility Name RESTORE HEALTH URGENT CARE
Street 1840 ELDRON BLVD, SE STE 1
City PALM BAY
State FL
ZIP 32909
Phone 321 312-4580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type Physician Office
Lab Director MICHAEL HUSTED

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