10D2240465 CLIA NUMBER - MEADOWS WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 10D2240465
  • Facility Name: MEADOWS WELLNESS CLINIC
  • Facility Address: 151 MARY ESTHER BLVD SUITE 403A
    MARY ESTHER, FL
    ZIP 32569
  • Facility Phone: 850 226-8117
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA MEADOWS
  • NPI Number: 1528539855
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2240465
LAB Type Physician Office
Facility Name MEADOWS WELLNESS CLINIC
Street 151 MARY ESTHER BLVD SUITE 403A
City MARY ESTHER
State FL
ZIP 32569
Phone 850 226-8117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Physician Office
Lab Director ANGELA MEADOWS

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