10D0922029 CLIA NUMBER - BAYCARE MEDICAL GROUP INC

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Laboratory Demographics

CLIA Number: 10D0922029

Facility Name: BAYCARE MEDICAL GROUP INC

Facility Address:
400 PINELLAS ST STE 350
CLEARWATER, FL
ZIP 33756
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Facility Phone Number: 727 586-6200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1538738687

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D0922029
LAB Type	Physician Office
Facility Name	BAYCARE MEDICAL GROUP INC
Street	400 PINELLAS ST STE 350
City	CLEARWATER
State	FL
ZIP	33756
Phone	727 586-6200
CertificateType	4
CertificateEffectiveDate	4/21/2023
CertificateExpirationDate	4/20/2025
FacilityType	Waiver

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