10D2295075 CLIA NUMBER - BLISSFUL REJUVENATION INC

Laboratory Demographics

  • CLIA Code: 10D2295075
  • Facility Name: BLISSFUL REJUVENATION INC
  • Facility Address: 216 W HICKORY ST
    ARCADIA, FL
    ZIP 34266
  • Facility Phone: 863 491-1020
  • Facility Type: Other - AUTONOMOUS APRN OFFICE
  • Facility Type: Waiver
  • Lab Director: KIMBERLY DAVIS
  • NPI Number: 1467228932
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2295075
LAB Type Other - AUTONOMOUS APRN OFFICE
Facility Name BLISSFUL REJUVENATION INC
Street 216 W HICKORY ST
City ARCADIA
State FL
ZIP 34266
Phone 863 491-1020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Other - AUTONOMOUS APRN OFFICE
Lab Director KIMBERLY DAVIS

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