10D2263238 CLIA NUMBER - ADVANCED WELLNESS CONSULTANTS LLC

Laboratory Demographics

  • CLIA Code: 10D2263238
  • Facility Name: ADVANCED WELLNESS CONSULTANTS LLC
  • Facility Address: 2822 N UNIVERSITY DR
    SUNRISE, FL
    ZIP 33322
  • Facility Phone: 754 223-2321
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PEDRO E. ROSAS SANTIAGO
  • NPI Number: 1114515186
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2263238
LAB Type Physician Office
Facility Name ADVANCED WELLNESS CONSULTANTS LLC
Street 2822 N UNIVERSITY DR
City SUNRISE
State FL
ZIP 33322
Phone 754 223-2321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director PEDRO E. ROSAS SANTIAGO

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