10D2279940 CLIA NUMBER - PALM WELLNESS CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2279940
  • Facility Name: PALM WELLNESS CENTER LLC
  • Facility Address: 1004 W LINEBAUGH AVE SUITE A
    TAMPA, FL
    ZIP 33612
  • Facility Phone: 813 443-5370
  • Facility Type: Other - WELLNESS CENTER
  • Facility Type: Waiver
  • Lab Director: MICHEL REYE
  • NPI Number: 1255736831
  • Taxonomy: 261QR0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2279940
LAB Type Other - WELLNESS CENTER
Facility Name PALM WELLNESS CENTER LLC
Street 1004 W LINEBAUGH AVE SUITE A
City TAMPA
State FL
ZIP 33612
Phone 813 443-5370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Other - WELLNESS CENTER
Lab Director MICHEL REYE

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