10D2325150 CLIA NUMBER - UPLIFT HEALTHCARE INC

Laboratory Demographics

  • CLIA Code: 10D2325150
  • Facility Name: UPLIFT HEALTHCARE INC
  • Facility Address: 5812 HOLLYWOOD BLVD ROOM 7
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 754 255-5505
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KYLE H. PETERSEN
  • NPI Number: 1962294264
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2325150
LAB Type Physician Office
Facility Name UPLIFT HEALTHCARE INC
Street 5812 HOLLYWOOD BLVD ROOM 7
City HOLLYWOOD
State FL
ZIP 33021
Phone 754 255-5505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Physician Office
Lab Director KYLE H. PETERSEN

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