10D2214322 CLIA NUMBER - FLORIDA CONCIERGE MEDICINE & WELLNESS

Laboratory Demographics

  • CLIA Code: 10D2214322
  • Facility Name: FLORIDA CONCIERGE MEDICINE & WELLNESS
  • Facility Address: 5555 HOLLYWOOD BLVD STE 201
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 954 932-3269
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERARD F. ACLOQUE JR
  • NPI Number: 1013585868
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2214322
LAB Type Physician Office
Facility Name FLORIDA CONCIERGE MEDICINE & WELLNESS
Street 5555 HOLLYWOOD BLVD STE 201
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 932-3269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director GERARD F. ACLOQUE JR

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