10D2201954 CLIA NUMBER - MAXHEALTH

Laboratory Demographics

  • CLIA Code: 10D2201954
  • Facility Name: MAXHEALTH
  • Facility Address: 5814 SEVEN MILE DR SUITE 105
    WILDWOOD, FL
    ZIP 34785
  • Facility Phone: 352 815-5030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL PULCINI
  • NPI Number: 1801497953
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2201954
LAB Type Physician Office
Facility Name MAXHEALTH
Street 5814 SEVEN MILE DR SUITE 105
City WILDWOOD
State FL
ZIP 34785
Phone 352 815-5030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Physician Office
Lab Director PAUL PULCINI

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