10D0966030 CLIA NUMBER - WEST COAST FAMILY MEDICAL CARE

Laboratory Demographics

CLIA Number: 10D0966030

Facility Name: WEST COAST FAMILY MEDICAL CARE

Facility Address:
3165 MCMULLEN BOOTH RD STE H
CLEARWATER, FL
ZIP 33761
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Facility Phone Number: 727 787-3911

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285631416

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	10D0966030
LAB Type	Physician Office
Facility Name	WEST COAST FAMILY MEDICAL CARE
Street	3165 MCMULLEN BOOTH RD STE H
City	CLEARWATER
State	FL
ZIP	33761
Phone	727 787-3911
CertificateType	4
CertificateEffectiveDate	10/6/2023
CertificateExpirationDate	10/5/2025
FacilityType	Waiver

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