10D0685839 CLIA NUMBER - BAYCARE MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 10D0685839
  • Facility Name: BAYCARE MEDICAL GROUP INC
  • Facility Address: 29750 US HWY 19 NORTH - #101
    CLEARWATER, FL
    ZIP 33761
  • Facility Phone: 727 786-5058
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VALERIA R. PERRUCI
  • NPI Number: 1548833825
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0685839
LAB Type Physician Office
Facility Name BAYCARE MEDICAL GROUP INC
Street 29750 US HWY 19 NORTH - #101
City CLEARWATER
State FL
ZIP 33761
Phone 727 786-5058
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 VALERIA R. PERRUCI

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