10D2268431 CLIA NUMBER - FORWARD WELLNESS

Laboratory Demographics

  • CLIA Code: 10D2268431
  • Facility Name: FORWARD WELLNESS
  • Facility Address: 1616 CRAWFORDVILLE HWY STE D
    CRAWFORDVILLE, FL
    ZIP 32327
  • Facility Phone: 850 343-5800
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: COURTNEY L. DAVIS
  • NPI Number: 1891416301
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2268431
LAB Type Practitioner Other
Facility Name FORWARD WELLNESS
Street 1616 CRAWFORDVILLE HWY STE D
City CRAWFORDVILLE
State FL
ZIP 32327
Phone 850 343-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Practitioner Other
Lab Director COURTNEY L. DAVIS

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