10D0966030 CLIA NUMBER - WEST COAST FAMILY MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 10D0966030
  • Facility Name: WEST COAST FAMILY MEDICAL CARE
  • Facility Address: 3165 MCMULLEN BOOTH RD STE H
    CLEARWATER, FL
    ZIP 33761
  • Facility Phone: 727 787-3911
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID L. HICKS
  • NPI Number: 1285631416
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Physician Office
Lab Director DAVID L. HICKS

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This page was last updated on: 9/29/2025