10D0988927 CLIA NUMBER - BAY AREA MEDICAL CENTER PA

Laboratory Demographics

CLIA Number: 10D0988927

Facility Name: BAY AREA MEDICAL CENTER PA

Facility Address:
2595 TAMPA RD STE S & T
PALM HARBOR, FL
ZIP 34684
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Facility Phone Number: 727 781-4299

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1366631004

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	10D0988927
LAB Type	Physician Office
Facility Name	BAY AREA MEDICAL CENTER PA
Street	2595 TAMPA RD STE S & T
City	PALM HARBOR
State	FL
ZIP	34684
Phone	727 781-4299
CertificateType	4
CertificateEffectiveDate	7/12/2023
CertificateExpirationDate	7/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024