10D2313295 CLIA NUMBER - GRATEFUL HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2313295
  • Facility Name: GRATEFUL HEALTH LLC
  • Facility Address: 2425 SOUTH VOLUSIA AVE STE B3
    ORANGE CITY, FL
    ZIP 32763
  • Facility Phone: 386 218-3145
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: YOUSSEF AOUNI
  • NPI Number: 1912743824
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2313295
LAB Type Practitioner Other
Facility Name GRATEFUL HEALTH LLC
Street 2425 SOUTH VOLUSIA AVE STE B3
City ORANGE CITY
State FL
ZIP 32763
Phone 386 218-3145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Practitioner Other
Lab Director YOUSSEF AOUNI

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