10D2284576 CLIA NUMBER - NOVA WELLNESS CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2284576
  • Facility Name: NOVA WELLNESS CENTER LLC
  • Facility Address: 5300 W HILLSBORO BLVD STE 103
    COCONUT CREEK, FL
    ZIP 33073
  • Facility Phone: 954 614-4053
  • Facility Type: Other - AUTONOMOUS APRN
  • Facility Type: Waiver
  • Lab Director: LUCIA RODRIGUES
  • NPI Number: 1295431468
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2284576
LAB Type Other - AUTONOMOUS APRN
Facility Name NOVA WELLNESS CENTER LLC
Street 5300 W HILLSBORO BLVD STE 103
City COCONUT CREEK
State FL
ZIP 33073
Phone 954 614-4053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Other - AUTONOMOUS APRN
Lab Director LUCIA RODRIGUES

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