10D0298644 CLIA NUMBER - RENATA TEYTELBAUM MD PA

Laboratory Demographics

  • CLIA Code: 10D0298644
  • Facility Name: RENATA TEYTELBAUM MD PA
  • Facility Address: 585 MAIN ST STE 101
    DUNEDIN, FL
    ZIP 34698
  • Facility Phone: 727 734-6777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RENATA TEYTELBAUM MD
  • NPI Number: 1497756621
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0298644
LAB Type Physician Office
Facility Name RENATA TEYTELBAUM MD PA
Street 585 MAIN ST STE 101
City DUNEDIN
State FL
ZIP 34698
Phone 727 734-6777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RENATA TEYTELBAUM MD

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