10D0966663 CLIA NUMBER - GREGORIO SANTOS MD PA

Laboratory Demographics

  • CLIA Code: 10D0966663
  • Facility Name: GREGORIO SANTOS MD PA
  • Facility Address: 6125 54TH AVE N STE B
    KENNETH CITY, FL
    ZIP 33709
  • Facility Phone: 727 521-9467
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORIO S. SANTOS
  • NPI Number: 1417060369
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0966663
LAB Type Physician Office
Facility Name GREGORIO SANTOS MD PA
Street 6125 54TH AVE N STE B
City KENNETH CITY
State FL
ZIP 33709
Phone 727 521-9467
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Physician Office
Lab Director GREGORIO S. SANTOS

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