10D0668412 CLIA NUMBER - STEPHEN G NELSON MD PA

Laboratory Demographics

  • CLIA Code: 10D0668412
  • Facility Name: STEPHEN G NELSON MD PA
  • Facility Address: 5601 9TH ST N
    SAINT PETERSBURG, FL
    ZIP 33703
  • Facility Phone: 727 525-2161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN G. NELSON
  • NPI Number: 1447209721
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0668412
LAB Type Physician Office
Facility Name STEPHEN G NELSON MD PA
Street 5601 9TH ST N
City SAINT PETERSBURG
State FL
ZIP 33703
Phone 727 525-2161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director DR. STEPHEN G. NELSON

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This page was last updated on: 6/4/2025