10D2250571 CLIA NUMBER - MAHEEM ENTERPRISE LLC

Laboratory Demographics

  • CLIA Code: 10D2250571
  • Facility Name: MAHEEM ENTERPRISE LLC
  • Facility Address: 1515 PALM BAY RD NE SUITE 108
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: 321 499-3999
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MODI DEVANG
  • NPI Number: 1073928057
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2250571
LAB Type Pharmacy
Facility Name MAHEEM ENTERPRISE LLC
Street 1515 PALM BAY RD NE SUITE 108
City MELBOURNE
State FL
ZIP 32901
Phone 321 499-3999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Pharmacy
Lab Director MODI DEVANG

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