10D2217163 CLIA NUMBER - MAXHEALTH

Laboratory Demographics

  • CLIA Code: 10D2217163
  • Facility Name: MAXHEALTH
  • Facility Address: 10900 SE 174TH PLACE
    SUMMERFIELD, FL
    ZIP 34491
  • Facility Phone: 352 820-3401
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL PULCINI
  • NPI Number: 1245823384
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2217163
LAB Type Physician Office
Facility Name MAXHEALTH
Street 10900 SE 174TH PLACE
City SUMMERFIELD
State FL
ZIP 34491
Phone 352 820-3401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director PAUL PULCINI

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