10D0295576 CLIA NUMBER - INTERCOASTAL MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 10D0295576
  • Facility Name: INTERCOASTAL MEDICAL GROUP INC
  • Facility Address: 943 S BENEVA RD SUITE 102
    SARASOTA, FL
    ZIP 34232
  • Facility Phone: 941 952-9544
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CHRISTINA L. WARNER
  • NPI Number: 1306516208
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0295576
LAB Type Physician Office
Facility Name INTERCOASTAL MEDICAL GROUP INC
Street 943 S BENEVA RD SUITE 102
City SARASOTA
State FL
ZIP 34232
Phone 941 952-9544
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Physician Office
Lab Director DR. CHRISTINA L. WARNER

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