10D2326735 CLIA NUMBER - TRANSFORM LIFE FAMILY WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 10D2326735
  • Facility Name: TRANSFORM LIFE FAMILY WELLNESS LLC
  • Facility Address: 710 OAKFIELD DR STE 120
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 324-7889
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LATONYA D. RODGERS
  • NPI Number: 1154169829
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2326735
LAB Type Practitioner Other
Facility Name TRANSFORM LIFE FAMILY WELLNESS LLC
Street 710 OAKFIELD DR STE 120
City BRANDON
State FL
ZIP 33511
Phone 813 324-7889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Practitioner Other
Lab Director LATONYA D. RODGERS

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