10D2325786 CLIA NUMBER - SAGE WELLNESS BIRTH COLLABORATIVE LLC

Laboratory Demographics

  • CLIA Code: 10D2325786
  • Facility Name: SAGE WELLNESS BIRTH COLLABORATIVE LLC
  • Facility Address: 831 MCCASKILL STREET
    CRESTVIEW, FL
    ZIP 32536
  • Facility Phone: 850 446-6505
  • Facility Type: Other - BIRTH CENTER
  • Facility Type: Waiver
  • Lab Director: KIZ TOSI
  • NPI Number: 1215820196
  • Taxonomy: 363LX0001X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2325786
LAB Type Other - BIRTH CENTER
Facility Name SAGE WELLNESS BIRTH COLLABORATIVE LLC
Street 831 MCCASKILL STREET
City CRESTVIEW
State FL
ZIP 32536
Phone 850 446-6505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Other - BIRTH CENTER
Lab Director KIZ TOSI

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