10D2290871 CLIA NUMBER - JOHNNY MICHEL MD PLLC DBA HARVEST SS HEALTH

Laboratory Demographics

  • CLIA Code: 10D2290871
  • Facility Name: JOHNNY MICHEL MD PLLC DBA HARVEST SS HEALTH
  • Facility Address: 2623 S SEACREST BLVD SUITE 104
    FORT LAUDERDALE, FL
    ZIP 33326
  • Facility Phone: 561 509-1200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHNNY MICHEL
  • NPI Number: 1699268649
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2290871
LAB Type Physician Office
Facility Name JOHNNY MICHEL MD PLLC DBA HARVEST SS HEALTH
Street 2623 S SEACREST BLVD SUITE 104
City FORT LAUDERDALE
State FL
ZIP 33326
Phone 561 509-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Physician Office
Lab Director JOHNNY MICHEL

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