CLIA Code Details

Clinical Laboratory Code : 10D2317456

OPTIMUM WELLNESS CENTER LLC (PRACTITIONER OTHER)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 10D2317456
Clinical laboratory number
Lab Name OPTIMUM WELLNESS CENTER LLC
Laboratory Name
Lab Type Practitioner Other
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 352-729-2067
Laboratory telephone number
Fax N/S (NOT SPECIFIED)
Fax number of the provider.

Facility Location

Street Address 3800 LAKE CENTER DRIVE SUITE B2
Primary location adress line
City MOUNT DORA
Primary location city name
State FL
Primary location state name
Zip 32757
Primary location postal code

Directions to "OPTIMUM WELLNESS CENTER LLC" Facility Location

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