10D0717656 CLIA NUMBER - JAY E CARPENTER MD PA

Laboratory Demographics

  • CLIA Code: 10D0717656
  • Facility Name: JAY E CARPENTER MD PA
  • Facility Address: 611 DRUID RD E STE 501
    CLEARWATER, FL
    ZIP 33756
  • Facility Phone: 727 447-4877
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAY E. CARPENTER
  • NPI Number: 1427162478
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0717656
LAB Type Physician Office
Facility Name JAY E CARPENTER MD PA
Street 611 DRUID RD E STE 501
City CLEARWATER
State FL
ZIP 33756
Phone 727 447-4877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Physician Office
Lab Director DR. JAY E. CARPENTER

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