10D0721298 CLIA NUMBER - COUNTRYSIDE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D0721298
  • Facility Name: COUNTRYSIDE SURGERY CENTER
  • Facility Address: 3291 N MCMULLEN BOOTH RD
    CLEARWATER, FL
    ZIP 33761
  • Facility Phone: 727 725-5800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER PALERMO
  • NPI Number: 1518920040
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0721298
LAB Type Ambulatory Surgery Center
Facility Name COUNTRYSIDE SURGERY CENTER
Street 3291 N MCMULLEN BOOTH RD
City CLEARWATER
State FL
ZIP 33761
Phone 727 725-5800
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 Ambulatory Surgery Center
Lab Director CHRISTOPHER PALERMO

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