10D2309741 CLIA NUMBER - MOBILE PHLEBOTOMY PROFESSIONALS LLC

Laboratory Demographics

  • CLIA Code: 10D2309741
  • Facility Name: MOBILE PHLEBOTOMY PROFESSIONALS LLC
  • Facility Address: 126 WILSHIRE BOULEVARD SUITE 1022
    CASSELBERRY, FL
    ZIP 32707
  • Facility Phone: 551 404-0359
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: LIZI GONZALEZ
  • NPI Number: 1205671013
  • Taxonomy: 246R00000X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 10D2309741
LAB Type Mobile Laboratory
Facility Name MOBILE PHLEBOTOMY PROFESSIONALS LLC
Street 126 WILSHIRE BOULEVARD SUITE 1022
City CASSELBERRY
State FL
ZIP 32707
Phone 551 404-0359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Mobile Laboratory
Lab Director LIZI GONZALEZ

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