10D0862441 CLIA NUMBER - MARK J PHILLIPS MD

Laboratory Demographics

  • CLIA Code: 10D0862441
  • Facility Name: MARK J PHILLIPS MD
  • Facility Address: 3627 WEBBER ST STE A
    SARASOTA, FL
    ZIP 34232
  • Facility Phone: 941 923-4233
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK J. PHILLIPS MD
  • NPI Number: 1548212863
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0862441
LAB Type Physician Office
Facility Name MARK J PHILLIPS MD
Street 3627 WEBBER ST STE A
City SARASOTA
State FL
ZIP 34232
Phone 941 923-4233
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 MARK J. PHILLIPS MD

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