10D0984573 CLIA NUMBER - PREMIER HEALTH CARE INC

Laboratory Demographics

  • CLIA Code: 10D0984573
  • Facility Name: PREMIER HEALTH CARE INC
  • Facility Address: 218 PASADENA AVE S
    SAINT PETERSBURG, FL
    ZIP 33707
  • Facility Phone: 727 345-0160
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIJAYA L. CHERUKURI MD
  • NPI Number: 1124119151
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0984573
LAB Type Physician Office
Facility Name PREMIER HEALTH CARE INC
Street 218 PASADENA AVE S
City SAINT PETERSBURG
State FL
ZIP 33707
Phone 727 345-0160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Physician Office
Lab Director VIJAYA L. CHERUKURI MD

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