10D2314641 CLIA NUMBER - THRIVEWELL MEDICAL, LLC

Laboratory Demographics

  • CLIA Code: 10D2314641
  • Facility Name: THRIVEWELL MEDICAL, LLC
  • Facility Address: 1709 E COMMERCIAL BLVD
    FORT LAUDERDALE, FL
    ZIP 33334
  • Facility Phone: (754) 800-1118
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA CHEN
  • NPI Number: 1386472827
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2314641
LAB Type Physician Office
Facility Name THRIVEWELL MEDICAL, LLC
Street 1709 E COMMERCIAL BLVD
City FORT LAUDERDALE
State FL
ZIP 33334
Phone 7548001118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Physician Office
Lab Director JESSICA CHEN

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This page was last updated on: 5/18/2026