33D2073617 CLIA NUMBER - WELLBOUND LLC

Laboratory Demographics

  • CLIA Code: 33D2073617
  • Facility Name: WELLBOUND LLC
  • Facility Address: 7424 13TH AVE
    BROOKLYN, NY
    ZIP 11228
  • Facility Phone: 718 530-9880
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. DURAR NIDHI
  • NPI Number: 1518305572
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 33D2073617
LAB Type Home Health Agency
Facility Name WELLBOUND LLC
Street 7424 13TH AVE
City BROOKLYN
State NY
ZIP 11228
Phone 718 530-9880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2014
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director DR. DURAR NIDHI

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