10D2296724 CLIA NUMBER - ENLOVE WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 10D2296724
  • Facility Name: ENLOVE WELLNESS LLC
  • Facility Address: 1001 N FEDERAL HWY SUITE 200
    HALLANDALE BEACH, FL
    ZIP 33009
  • Facility Phone: 954 815-4877
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SHOUNEQA JAMES
  • NPI Number: 1073213203
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2296724
LAB Type Practitioner Other
Facility Name ENLOVE WELLNESS LLC
Street 1001 N FEDERAL HWY SUITE 200
City HALLANDALE BEACH
State FL
ZIP 33009
Phone 954 815-4877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Practitioner Other
Lab Director SHOUNEQA JAMES

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