10D2242806 CLIA NUMBER - LOTUS WELLNESS INSTITUTE, LLC

Laboratory Demographics

CLIA Number: 10D2242806

Facility Name: LOTUS WELLNESS INSTITUTE, LLC

Facility Address:
10651 SW 88 ST, #100
MIAMI, FL
ZIP 33176
Get Directions

Facility Phone Number: 786 457-0375

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750037982

Taxonomy: 363LP0808X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	10D2242806
LAB Type	Physician Office
Facility Name	LOTUS WELLNESS INSTITUTE, LLC
Street	10651 SW 88 ST, #100
City	MIAMI
State	FL
ZIP	33176
Phone	786 457-0375
CertificateType	4
CertificateEffectiveDate	11/12/2023
CertificateExpirationDate	11/11/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024