10D2232810 CLIA NUMBER - HEALTHY BODIES MEDICAL CENTER, LLC

Laboratory Demographics

CLIA Number: 10D2232810

Facility Name: HEALTHY BODIES MEDICAL CENTER, LLC

Facility Address:
3415 BROOK CROSSING DR
BRANDON, FL
ZIP 33511
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Facility Phone Number: (813) 540-5005

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1265972103

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D2232810
LAB Type	PHYSICIAN OFFICE
Facility Name	HEALTHY BODIES MEDICAL CENTER, LLC
Street	3415 BROOK CROSSING DR
City	BRANDON
State	FL
ZIP	33511
Phone	(813) 540-5005

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