10D0693444 CLIA NUMBER - PALM GARDEN OF PINELLAS

Laboratory Demographics

  • CLIA Code: 10D0693444
  • Facility Name: PALM GARDEN OF PINELLAS
  • Facility Address: 200 16TH AVE SE
    LARGO, FL
    ZIP 33771
  • Facility Phone: 727 585-9377
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JERI REED
  • NPI Number: 1013913235
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0693444
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PALM GARDEN OF PINELLAS
Street 200 16TH AVE SE
City LARGO
State FL
ZIP 33771
Phone 727 585-9377
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 Skilled Nursing Facility/Nursing Facility
Lab Director JERI REED

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