10D2159419 CLIA NUMBER - CENTRAL FLORIDA WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 10D2159419
  • Facility Name: CENTRAL FLORIDA WELLNESS LLC
  • Facility Address: 1800 W HIBISCUS BLVD #131
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: 321 234-4200
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOHN LIGEON
  • NPI Number: 1275008716
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2159419
LAB Type Practitioner Other
Facility Name CENTRAL FLORIDA WELLNESS LLC
Street 1800 W HIBISCUS BLVD #131
City MELBOURNE
State FL
ZIP 32901
Phone 321 234-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Practitioner Other
Lab Director JOHN LIGEON

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