10D0962715 CLIA NUMBER - BAYCARE MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 10D0962715

Facility Name: BAYCARE MEDICAL GROUP INC

Facility Address:
1005 PINELLAS ST
CLEARWATER, FL
ZIP 33756
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Facility Phone Number: 727 446-2111

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1558932202

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 10D0962715
LAB Type Physician Office
Facility Name BAYCARE MEDICAL GROUP INC
Street 1005 PINELLAS ST
City CLEARWATER
State FL
ZIP 33756
Phone 727 446-2111
CertificateType 4
CertificateEffectiveDate 7/12/2023
CertificateExpirationDate 7/11/2025
FacilityType Waiver

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