10D2199307 CLIA NUMBER - PLATINUM HEALTH AND WELLNESS LLC

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Laboratory Demographics

CLIA Number: 10D2199307

Facility Name: PLATINUM HEALTH AND WELLNESS LLC

Facility Address:
3620 NW 43RD STREET SUITE A
GAINESVILLE, FL
ZIP 32606
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Facility Phone Number: 352 587-0500

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1285245878

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D2199307
LAB Type	Practitioner Other
Facility Name	PLATINUM HEALTH AND WELLNESS LLC
Street	3620 NW 43RD STREET SUITE A
City	GAINESVILLE
State	FL
ZIP	32606
Phone	352 587-0500
CertificateType	4
CertificateEffectiveDate	11/6/2022
CertificateExpirationDate	11/5/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024