10D2242892 CLIA NUMBER - LUXEHEALTH FLORIDA LLC

Laboratory Demographics

CLIA Number: 10D2242892

Facility Name: LUXEHEALTH FLORIDA LLC

Facility Address:
417 APOLLO BEACH BLVD
APOLLO BEACH, FL
ZIP 33572
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Facility Phone Number: 813 793-7372

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487263166

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2242892
LAB Type	Physician Office
Facility Name	LUXEHEALTH FLORIDA LLC
Street	417 APOLLO BEACH BLVD
City	APOLLO BEACH
State	FL
ZIP	33572
Phone	813 793-7372
CertificateType	4
CertificateEffectiveDate	11/15/2023
CertificateExpirationDate	11/14/2025
FacilityType	Waiver

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