10D2220995 CLIA NUMBER - FLORIDA MEDICAL SPECIALIST, LLC DBA MAXHEALTH

Laboratory Demographics

  • CLIA Code: 10D2220995
  • Facility Name: FLORIDA MEDICAL SPECIALIST, LLC DBA MAXHEALTH
  • Facility Address: 11505 PALMBRUSH TRAIL, SUITE 220
    LAKEWOOD RANCH, FL
    ZIP 34202
  • Facility Phone: 941 474-2090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIELA KASSABOV
  • NPI Number: 1396185047
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D2220995
LAB Type Physician Office
Facility Name FLORIDA MEDICAL SPECIALIST, LLC DBA MAXHEALTH
Street 11505 PALMBRUSH TRAIL, SUITE 220
City LAKEWOOD RANCH
State FL
ZIP 34202
Phone 941 474-2090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Physician Office
Lab Director DANIELA KASSABOV

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