10D0724816 CLIA NUMBER - FLORIDA FAMILY MEDICAL CENTERS INC

Laboratory Demographics

CLIA Number: 10D0724816

Facility Name: FLORIDA FAMILY MEDICAL CENTERS INC

Facility Address:
818 CHESTNUT STREET
CLEARWATER, FL
ZIP 33756
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Facility Phone Number: 813 443-7478

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952579344

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	10D0724816
LAB Type	Physician Office
Facility Name	FLORIDA FAMILY MEDICAL CENTERS INC
Street	818 CHESTNUT STREET
City	CLEARWATER
State	FL
ZIP	33756
Phone	813 443-7478
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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