10D2219903 CLIA NUMBER - BELFIORE WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 10D2219903
  • Facility Name: BELFIORE WELLNESS CENTER
  • Facility Address: 502 E HICKORY AVE
    CRESTVIEW, FL
    ZIP 32536
  • Facility Phone: 850 683-1100
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KRISTINA D. SMITH
  • NPI Number: 1144836446
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2219903
LAB Type Practitioner Other
Facility Name BELFIORE WELLNESS CENTER
Street 502 E HICKORY AVE
City CRESTVIEW
State FL
ZIP 32536
Phone 850 683-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Practitioner Other
Lab Director KRISTINA D. SMITH

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