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10D0991355 CLIA NUMBER - BRANDON PREMIER HEALTHCARE, PA

Laboratory Demographics

CLIA Number: 10D0991355

Facility Name: BRANDON PREMIER HEALTHCARE, PA

Facility Address:
907 N PARSONS AVE
BRANDON, FL
ZIP 33510
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Facility Phone Number: 813 689-8020

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1548463599

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 10D0991355
LAB Type Physician Office
Facility Name BRANDON PREMIER HEALTHCARE, PA
Street 907 N PARSONS AVE
City BRANDON
State FL
ZIP 33510
Phone 813 689-8020
CertificateType 3
CertificateEffectiveDate 9/27/2023
CertificateExpirationDate 9/26/2025
FacilityType PPMP

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