10D0296838 CLIA NUMBER - CLEARWATER FAMILY MEDICINE AND ALLERGY, PA

Laboratory Demographics

  • CLIA Code: 10D0296838
  • Facility Name: CLEARWATER FAMILY MEDICINE AND ALLERGY, PA
  • Facility Address: 708 DRUID RD
    CLEARWATER, FL
    ZIP 33756
  • Facility Phone: 813 446-1097
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KERRY RELLER
  • NPI Number: 1477585883
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0296838
LAB Type Physician Office
Facility Name CLEARWATER FAMILY MEDICINE AND ALLERGY, PA
Street 708 DRUID RD
City CLEARWATER
State FL
ZIP 33756
Phone 813 446-1097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director KERRY RELLER

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