10D2264907 CLIA NUMBER - ST CHARLES WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 10D2264907
  • Facility Name: ST CHARLES WELLNESS CENTER
  • Facility Address: 311 NE 8TH STREET SUITE 109
    HOMESTEAD, FL
    ZIP 33030
  • Facility Phone: (305) 363-5573
  • Facility Type: Other - APRN
  • Facility Type: Waiver
  • Lab Director: ROSITA ATILUS
  • NPI Number: 1932848801
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2264907
LAB Type Other - APRN
Facility Name ST CHARLES WELLNESS CENTER
Street 311 NE 8TH STREET SUITE 109
City HOMESTEAD
State FL
ZIP 33030
Phone 3053635573
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Other - APRN
Lab Director ROSITA ATILUS

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This page was last updated on: 5/18/2026