10D2262644 CLIA NUMBER - ELITE SPINE AND WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 10D2262644
  • Facility Name: ELITE SPINE AND WELLNESS LLC
  • Facility Address: 499 NW 70TH AVE, STE 200
    PLANTATION, FL
    ZIP 33317
  • Facility Phone: 954 223-5483
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAHANGIR ASGHAR
  • NPI Number: 1497482988
  • Taxonomy: 207XS0117X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2262644
LAB Type Physician Office
Facility Name ELITE SPINE AND WELLNESS LLC
Street 499 NW 70TH AVE, STE 200
City PLANTATION
State FL
ZIP 33317
Phone 954 223-5483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Physician Office
Lab Director JAHANGIR ASGHAR

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