10D2290986 CLIA NUMBER - MOBILE PHLEBOTOMY EXCELLENCE, LLC

Laboratory Demographics

  • CLIA Code: 10D2290986
  • Facility Name: MOBILE PHLEBOTOMY EXCELLENCE, LLC
  • Facility Address: 109 E VIOLA ST
    AVON PARK, FL
    ZIP 33825
  • Facility Phone: (888) 919-2509
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TIFFANY BROWN
  • NPI Number: 1356120836
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2290986
LAB Type Mobile Laboratory
Facility Name MOBILE PHLEBOTOMY EXCELLENCE, LLC
Street 109 E VIOLA ST
City AVON PARK
State FL
ZIP 33825
Phone 8889192509
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Mobile Laboratory
Lab Director TIFFANY BROWN

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