10D2151726 CLIA NUMBER - ETHOS WELLNESS PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2151726
  • Facility Name: ETHOS WELLNESS PHARMACY
  • Facility Address: 260 CRANDON BLVD #33
    KEY BISCAYNE, FL
    ZIP 33149
  • Facility Phone: 305 982-8727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAVIER DIAZ
  • NPI Number: 1275019705
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2151726
LAB Type Pharmacy
Facility Name ETHOS WELLNESS PHARMACY
Street 260 CRANDON BLVD #33
City KEY BISCAYNE
State FL
ZIP 33149
Phone 305 982-8727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Pharmacy
Lab Director JAVIER DIAZ

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