10D2207315 CLIA NUMBER - LIFE CONNECT FOUNDATION INC

Laboratory Demographics

  • CLIA Code: 10D2207315
  • Facility Name: LIFE CONNECT FOUNDATION INC
  • Facility Address: 3001 NW 49TH AVE SUITE 308
    LAUDERDALE LAKES, FL
    ZIP 33313
  • Facility Phone: 954 297-6694
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KUMAR RAJAGOPALAN
  • NPI Number: 1881207900
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2207315
LAB Type Community Clinic
Facility Name LIFE CONNECT FOUNDATION INC
Street 3001 NW 49TH AVE SUITE 308
City LAUDERDALE LAKES
State FL
ZIP 33313
Phone 954 297-6694
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Community Clinic
Lab Director KUMAR RAJAGOPALAN

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