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10D0965058 CLIA NUMBER - CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS, MD, PA

Laboratory Demographics

CLIA Number: 10D0965058

Facility Name: CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS, MD, PA

Facility Address:
455 PINELLAS ST STE 400
CLEARWATER, FL
ZIP 33756
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Facility Phone Number: 727 445-1911

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1659396133

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name Field Value
CLIA Number 10D0965058
LAB Type Physician Office
Facility Name CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS, MD, PA
Street 455 PINELLAS ST STE 400
City CLEARWATER
State FL
ZIP 33756
Phone 727 445-1911
CertificateType 4
CertificateEffectiveDate 9/9/2023
CertificateExpirationDate 9/8/2025
FacilityType Waiver

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