10D2295155 CLIA NUMBER - WEST COAST WELLNESS

Laboratory Demographics

  • CLIA Code: 10D2295155
  • Facility Name: WEST COAST WELLNESS
  • Facility Address: 4361 AIDAN LANE
    NORTH PORT, FL
    ZIP 34287
  • Facility Phone: 941 429-0070
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ALEX ERICKSON
  • NPI Number: 1568621837
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D2295155
LAB Type Practitioner Other
Facility Name WEST COAST WELLNESS
Street 4361 AIDAN LANE
City NORTH PORT
State FL
ZIP 34287
Phone 941 429-0070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Practitioner Other
Lab Director ALEX ERICKSON

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