10D2190608 CLIA NUMBER - HEALTH360 LLC

Laboratory Demographics

  • CLIA Code: 10D2190608
  • Facility Name: HEALTH360 LLC
  • Facility Address: 7191 TAFT ST
    HOLLYWOOD, FL
    ZIP 33024
  • Facility Phone: 954 800-0097
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: HELENE A. NAU
  • NPI Number: 1679106462
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2190608
LAB Type Practitioner Other
Facility Name HEALTH360 LLC
Street 7191 TAFT ST
City HOLLYWOOD
State FL
ZIP 33024
Phone 954 800-0097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Practitioner Other
Lab Director HELENE A. NAU

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