10D2325608 CLIA NUMBER - ISENMAN WELLNESS CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2325608
  • Facility Name: ISENMAN WELLNESS CARE LLC
  • Facility Address: 1694 W HIBISCUS BLVD SUITE A
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: 321 220-0049
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC C. ISENMAN
  • NPI Number: 1265227540
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2325608
LAB Type Physician Office
Facility Name ISENMAN WELLNESS CARE LLC
Street 1694 W HIBISCUS BLVD SUITE A
City MELBOURNE
State FL
ZIP 32901
Phone 321 220-0049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Physician Office
Lab Director ERIC C. ISENMAN

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