10D2124008 CLIA NUMBER - MAXHEALTH

Laboratory Demographics

  • CLIA Code: 10D2124008
  • Facility Name: MAXHEALTH
  • Facility Address: 12967 US HWY 301 S
    RIVERVIEW, FL
    ZIP 33578
  • Facility Phone: 813 443-6369
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL PULCINI
  • NPI Number: 1922544741
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2124008
LAB Type Physician Office
Facility Name MAXHEALTH
Street 12967 US HWY 301 S
City RIVERVIEW
State FL
ZIP 33578
Phone 813 443-6369
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director PAUL PULCINI

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