10D2306699 CLIA NUMBER - VIE WELLNESS CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2306699
  • Facility Name: VIE WELLNESS CENTER LLC
  • Facility Address: 9720 N ARMENIA AVE SUITE G
    TAMPA, FL
    ZIP 33612
  • Facility Phone: 813 534-8856
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: EMMANUELA C. PIERRE-CHARLES
  • NPI Number: 1073392064
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2306699
LAB Type Practitioner Other
Facility Name VIE WELLNESS CENTER LLC
Street 9720 N ARMENIA AVE SUITE G
City TAMPA
State FL
ZIP 33612
Phone 813 534-8856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Practitioner Other
Lab Director EMMANUELA C. PIERRE-CHARLES

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