10D2294681 CLIA NUMBER - BE WELL MEDICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2294681
  • Facility Name: BE WELL MEDICAL CENTER LLC
  • Facility Address: 4700 SHERIDAN ST SUITE R
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 754 946-4373
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JANY GONZALEZ
  • NPI Number: 1275214744
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2294681
LAB Type Practitioner Other
Facility Name BE WELL MEDICAL CENTER LLC
Street 4700 SHERIDAN ST SUITE R
City HOLLYWOOD
State FL
ZIP 33021
Phone 754 946-4373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Practitioner Other
Lab Director JANY GONZALEZ

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