10D2255231 CLIA NUMBER - YOUR FAVORITE NP CONSULTANT LLC

Laboratory Demographics

  • CLIA Code: 10D2255231
  • Facility Name: YOUR FAVORITE NP CONSULTANT LLC
  • Facility Address: 1651 MARSHALL RD SW
    WINTER HAVEN, FL
    ZIP 33880
  • Facility Phone: 510 331-1361
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DAVIDA N. MILLER
  • NPI Number: 1669126488
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2255231
LAB Type Mobile Laboratory
Facility Name YOUR FAVORITE NP CONSULTANT LLC
Street 1651 MARSHALL RD SW
City WINTER HAVEN
State FL
ZIP 33880
Phone 510 331-1361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Mobile Laboratory
Lab Director DAVIDA N. MILLER

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