10D2312054 CLIA NUMBER - LIVE WELL DPC, LLC

Laboratory Demographics

  • CLIA Code: 10D2312054
  • Facility Name: LIVE WELL DPC, LLC
  • Facility Address: 1528 S TUTTLE AVE
    SARASOTA, FL
    ZIP 34239
  • Facility Phone: 941 529-7770
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JULIE A. DOOLEY
  • NPI Number: 1275365066
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2312054
LAB Type Practitioner Other
Facility Name LIVE WELL DPC, LLC
Street 1528 S TUTTLE AVE
City SARASOTA
State FL
ZIP 34239
Phone 941 529-7770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Practitioner Other
Lab Director JULIE A. DOOLEY

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