10D0908813 CLIA NUMBER - GULFCOAST MEDICAL AND GERIATRIC CARE

Laboratory Demographics

  • CLIA Code: 10D0908813
  • Facility Name: GULFCOAST MEDICAL AND GERIATRIC CARE
  • Facility Address: 6450- 38TH AVE NO SUITE 100
    SAINT PETERSBURG, FL
    ZIP 33710
  • Facility Phone: 813 347-2780
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALDA EDWARDS
  • NPI Number: 1881260198
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D0908813
LAB Type Physician Office
Facility Name GULFCOAST MEDICAL AND GERIATRIC CARE
Street 6450- 38TH AVE NO SUITE 100
City SAINT PETERSBURG
State FL
ZIP 33710
Phone 813 347-2780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director ALDA EDWARDS

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