10D0973618 CLIA NUMBER - WILLIAMSMD LLC

Laboratory Demographics

  • CLIA Code: 10D0973618
  • Facility Name: WILLIAMSMD LLC
  • Facility Address: 1700 66TH STREET N STE 302
    SAINT PETERSBURG, FL
    ZIP 33710
  • Facility Phone: 727 547-0825
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUKE C. WILLIAMS
  • NPI Number: 1639165863
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0973618
LAB Type Physician Office
Facility Name WILLIAMSMD LLC
Street 1700 66TH STREET N STE 302
City SAINT PETERSBURG
State FL
ZIP 33710
Phone 727 547-0825
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Physician Office
Lab Director LUKE C. WILLIAMS

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This page was last updated on: 3/20/2025