10D2307786 CLIA NUMBER - PEACE AND HEART MIND CARE, LLC

Laboratory Demographics

  • CLIA Code: 10D2307786
  • Facility Name: PEACE AND HEART MIND CARE, LLC
  • Facility Address: 7603 DAVIE RD EXT
    HOLLYWOOD, FL
    ZIP 33024
  • Facility Phone: 888 307-2199
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DOROTHY CHATELIER-ORELUS
  • NPI Number: 1215523980
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2307786
LAB Type Practitioner Other
Facility Name PEACE AND HEART MIND CARE, LLC
Street 7603 DAVIE RD EXT
City HOLLYWOOD
State FL
ZIP 33024
Phone 888 307-2199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Practitioner Other
Lab Director DOROTHY CHATELIER-ORELUS

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