10D2225519 CLIA NUMBER - THE WAVE INTERNATIONAL, LLC

Laboratory Demographics

CLIA Number: 10D2225519

Facility Name: THE WAVE INTERNATIONAL, LLC

Facility Address:
7300 GROVE RD
BROOKSVILLE, FL
ZIP 34613
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Facility Phone Number: (352) 442-2343

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1568050565

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2225519
LAB Type	OTHER
Facility Name	THE WAVE INTERNATIONAL, LLC
Street	7300 GROVE RD
City	BROOKSVILLE
State	FL
ZIP	34613
Phone	(352) 442-2343

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This page was last updated on: 5/11/2023