10D0987145 CLIA NUMBER - HARBORSIDE INTERNAL MEDICINE PA

Laboratory Demographics

  • CLIA Code: 10D0987145
  • Facility Name: HARBORSIDE INTERNAL MEDICINE PA
  • Facility Address: 522 E MARION AVE STE 201
    PUNTA GORDA, FL
    ZIP 33950
  • Facility Phone: 941 505-6037
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY A. JANZ
  • NPI Number: 1972788669
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D0987145
LAB Type Physician Office
Facility Name HARBORSIDE INTERNAL MEDICINE PA
Street 522 E MARION AVE STE 201
City PUNTA GORDA
State FL
ZIP 33950
Phone 941 505-6037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Physician Office
Lab Director DR. TIMOTHY A. JANZ

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