10D2314311 CLIA NUMBER - FUNCTIONAL & INTEGRATIVE HEALTH CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2314311
  • Facility Name: FUNCTIONAL & INTEGRATIVE HEALTH CENTER LLC
  • Facility Address: 3909 NE 163 STREET SUITE 113
    NORTH MIAMI BEACH, FL
    ZIP 33160
  • Facility Phone: 305 548-2212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNA SHLUGMAN
  • NPI Number: 1063270981
  • Taxonomy: 363LW0102X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2314311
LAB Type Physician Office
Facility Name FUNCTIONAL & INTEGRATIVE HEALTH CENTER LLC
Street 3909 NE 163 STREET SUITE 113
City NORTH MIAMI BEACH
State FL
ZIP 33160
Phone 305 548-2212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Physician Office
Lab Director ANNA SHLUGMAN

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