10D2176679 CLIA NUMBER - HEALTH HAVEN LLC

Laboratory Demographics

  • CLIA Code: 10D2176679
  • Facility Name: HEALTH HAVEN LLC
  • Facility Address: 308 NW 5TH AVE
    OKEECHOBEE, FL
    ZIP 34972
  • Facility Phone: 786 863-3325
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD ASIM NISAR
  • NPI Number: 1265824858
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2176679
LAB Type Community Clinic
Facility Name HEALTH HAVEN LLC
Street 308 NW 5TH AVE
City OKEECHOBEE
State FL
ZIP 34972
Phone 786 863-3325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Community Clinic
Lab Director MOHAMMAD ASIM NISAR

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