10D0923187 CLIA NUMBER - BAYCARE MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 10D0923187
  • Facility Name: BAYCARE MEDICAL GROUP INC
  • Facility Address: 1919 W SWANN AVE 2ND FLOOR
    TAMPA, FL
    ZIP 33606
  • Facility Phone: 813 254-7079
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. AMY L. BEARISON
  • NPI Number: 1396314142
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0923187
LAB Type Physician Office
Facility Name BAYCARE MEDICAL GROUP INC
Street 1919 W SWANN AVE 2ND FLOOR
City TAMPA
State FL
ZIP 33606
Phone 813 254-7079
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/11/2024
Certificate Expiration Date 11/10/2026
Facility Type Physician Office
Lab Director DR. AMY L. BEARISON

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This page was last updated on: 3/20/2025