10D2310368 CLIA NUMBER - ELITE RELIEF MD PLLC

Laboratory Demographics

  • CLIA Code: 10D2310368
  • Facility Name: ELITE RELIEF MD PLLC
  • Facility Address: 7740 NOVA DRIVE SUITE B4
    DAVIE, FL
    ZIP 33324
  • Facility Phone: 754 200-6410
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY U. DESOUZA
  • NPI Number: 1447029947
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2310368
LAB Type Physician Office
Facility Name ELITE RELIEF MD PLLC
Street 7740 NOVA DRIVE SUITE B4
City DAVIE
State FL
ZIP 33324
Phone 754 200-6410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Physician Office
Lab Director KELLY U. DESOUZA

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