10D2311952 CLIA NUMBER - REFLECTED WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 10D2311952
  • Facility Name: REFLECTED WELLNESS LLC
  • Facility Address: 6641 MADISON ST SUITE 3
    NEW PORT RICHEY, FL
    ZIP 34652
  • Facility Phone: (727) 203-4417
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. COCHRAN
  • NPI Number: 1881383941
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2311952
LAB Type Practitioner Other
Facility Name REFLECTED WELLNESS LLC
Street 6641 MADISON ST SUITE 3
City NEW PORT RICHEY
State FL
ZIP 34652
Phone 7272034417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Practitioner Other
Lab Director JENNIFER L. COCHRAN

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This page was last updated on: 5/15/2026