10D0693657 CLIA NUMBER - GULFCOAST GASTROENTEROLOGY CONSULTANTS

Laboratory Demographics

  • CLIA Code: 10D0693657
  • Facility Name: GULFCOAST GASTROENTEROLOGY CONSULTANTS
  • Facility Address: 33920 US 19 NORTH SUITE 124
    PALM HARBOR, FL
    ZIP 34684
  • Facility Phone: 813 785-7654
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN KLIBANOFF MD
  • NPI Number: 1881877538
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0693657
LAB Type Physician Office
Facility Name GULFCOAST GASTROENTEROLOGY CONSULTANTS
Street 33920 US 19 NORTH SUITE 124
City PALM HARBOR
State FL
ZIP 34684
Phone 813 785-7654
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 ALAN KLIBANOFF MD

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