10D2254916 CLIA NUMBER - FOREVER YOUNG DIAGNOSTICS

Laboratory Demographics

  • CLIA Code: 10D2254916
  • Facility Name: FOREVER YOUNG DIAGNOSTICS
  • Facility Address: 110 LITHIA PINECREST RD - STE C
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 857-8556
  • Facility Type: Other - DIAGNOSTIC LAB SERVICE
  • Facility Type: Waiver
  • Lab Director: NICOLE Q. WILLIAMS
  • NPI Number: 1366194649
  • Taxonomy: 261QH0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2254916
LAB Type Other - DIAGNOSTIC LAB SERVICE
Facility Name FOREVER YOUNG DIAGNOSTICS
Street 110 LITHIA PINECREST RD - STE C
City BRANDON
State FL
ZIP 33511
Phone 813 857-8556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Other - DIAGNOSTIC LAB SERVICE
Lab Director NICOLE Q. WILLIAMS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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