10D0953605 CLIA NUMBER - RANJAN MAHAJAN MD

Laboratory Demographics

CLIA Number: 10D0953605

Facility Name: RANJAN MAHAJAN MD

Facility Address:
150 CLEARWATER LARGO RD N
LARGO, FL
ZIP 33770
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Facility Phone Number: 727 518-0822

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1861581266

Taxonomy: 207RG0300X - Internal Medicine
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

CLIA Record

Field Name	Field Value
CLIA Number	10D0953605
LAB Type	Physician Office
Facility Name	RANJAN MAHAJAN MD
Street	150 CLEARWATER LARGO RD N
City	LARGO
State	FL
ZIP	33770
Phone	727 518-0822
CertificateType	4
CertificateEffectiveDate	7/7/2023
CertificateExpirationDate	7/6/2025
FacilityType	Waiver

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