10D0685468 CLIA NUMBER - BAYCARE MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 10D0685468

Facility Name: BAYCARE MEDICAL GROUP INC

Facility Address:
616 E STREET - STE B
CLEARWATER, FL
ZIP 33756
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Facility Phone Number: 727 442-5123

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548833080

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D0685468
LAB Type	Physician Office
Facility Name	BAYCARE MEDICAL GROUP INC
Street	616 E STREET - STE B
City	CLEARWATER
State	FL
ZIP	33756
Phone	727 442-5123
CertificateType	4
CertificateEffectiveDate	6/2/2023
CertificateExpirationDate	6/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024