10D2227881 CLIA NUMBER - TRANSFORMED SPA AND WELLNESS DBA METAMORPHOSIS MED SPA LLC

Laboratory Demographics

  • CLIA Code: 10D2227881
  • Facility Name: TRANSFORMED SPA AND WELLNESS DBA METAMORPHOSIS MED SPA LLC
  • Facility Address: 20423 STATE RD 7, SUITE 28
    BOCA RATON, FL
    ZIP 33498
  • Facility Phone: 561 617-4650
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEBORAH THOMPSON
  • NPI Number: 1609644459
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2227881
LAB Type Practitioner Other
Facility Name TRANSFORMED SPA AND WELLNESS DBA METAMORPHOSIS MED SPA LLC
Street 20423 STATE RD 7, SUITE 28
City BOCA RATON
State FL
ZIP 33498
Phone 561 617-4650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Practitioner Other
Lab Director DEBORAH THOMPSON

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