10D0701322 CLIA NUMBER - RAYMOND D HANSEN MD FACC

Laboratory Demographics

  • CLIA Code: 10D0701322
  • Facility Name: RAYMOND D HANSEN MD FACC
  • Facility Address: 1972 BAYSHORE BLVD
    DUNEDIN, FL
    ZIP 34698
  • Facility Phone: 727 736-2513
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAYMOND D. HANSEN MD
  • NPI Number: 1134155963
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0701322
LAB Type Physician Office
Facility Name RAYMOND D HANSEN MD FACC
Street 1972 BAYSHORE BLVD
City DUNEDIN
State FL
ZIP 34698
Phone 727 736-2513
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 RAYMOND D. HANSEN MD

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