10D2322657 CLIA NUMBER - EZY WELLNESS CO

Laboratory Demographics

  • CLIA Code: 10D2322657
  • Facility Name: EZY WELLNESS CO
  • Facility Address: 11760 SW 40 ST STE 416
    MIAMI, FL
    ZIP 33175
  • Facility Phone: 786 631-4928
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRISCILLA HERNANDEZ
  • NPI Number: 1427840370
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2322657
LAB Type Physician Office
Facility Name EZY WELLNESS CO
Street 11760 SW 40 ST STE 416
City MIAMI
State FL
ZIP 33175
Phone 786 631-4928
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Physician Office
Lab Director PRISCILLA HERNANDEZ

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