10D2186442 CLIA NUMBER - BODY & MIND WORKS INC

Laboratory Demographics

  • CLIA Code: 10D2186442
  • Facility Name: BODY & MIND WORKS INC
  • Facility Address: 1600 N STATE RD 7 STE 200
    LAUDERHILL, FL
    ZIP 33313
  • Facility Phone: 954 900-9804
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONELLE RIVAS GIBSON
  • NPI Number: 1598308504
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2186442
LAB Type Physician Office
Facility Name BODY & MIND WORKS INC
Street 1600 N STATE RD 7 STE 200
City LAUDERHILL
State FL
ZIP 33313
Phone 954 900-9804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Physician Office
Lab Director JONELLE RIVAS GIBSON

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