10D2307640 CLIA NUMBER - HOLISTIC DIRECT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2307640
  • Facility Name: HOLISTIC DIRECT PRIMARY CARE
  • Facility Address: 13328 SWALLOWTAIL DR
    LAKEWOOD RANCH, FL
    ZIP 34202
  • Facility Phone: 941 348-2460
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: JEWEL L. TARTT

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CLIA Record

Field Name Field Value
CLIA Number 10D2307640
LAB Type Independent
Facility Name HOLISTIC DIRECT PRIMARY CARE
Street 13328 SWALLOWTAIL DR
City LAKEWOOD RANCH
State FL
ZIP 34202
Phone 941 348-2460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Independent
Lab Director JEWEL L. TARTT

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