10D0719864 CLIA NUMBER - WOMENS OB/GYN CENTER OF COUNTRYSIDE INC

Home > CLIA Lookup > 10D0719864

Laboratory Demographics

CLIA Number: 10D0719864

Facility Name: WOMENS OB/GYN CENTER OF COUNTRYSIDE INC

Facility Address:
28960 US HWY 19 N STE 110
CLEARWATER, FL
ZIP 33761
Get Directions

Facility Phone Number: 727 785-2525

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1295982767

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D0719864
LAB Type	Physician Office
Facility Name	WOMENS OB/GYN CENTER OF COUNTRYSIDE INC
Street	28960 US HWY 19 N STE 110
City	CLEARWATER
State	FL
ZIP	33761
Phone	727 785-2525
CertificateType	2
CertificateEffectiveDate	8/2/2022
CertificateExpirationDate	8/1/2024
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024