10D0993174 CLIA NUMBER - NEUROLOGY PA

Laboratory Demographics

  • CLIA Code: 10D0993174
  • Facility Name: NEUROLOGY PA
  • Facility Address: 4161 TAMIAMI TR STE 201
    PORT CHARLOTTE, FL
    ZIP 33952
  • Facility Phone: 941 764-0800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM A. HOLT DO
  • NPI Number: 1326074857
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D0993174
LAB Type Physician Office
Facility Name NEUROLOGY PA
Street 4161 TAMIAMI TR STE 201
City PORT CHARLOTTE
State FL
ZIP 33952
Phone 941 764-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director WILLIAM A. HOLT DO

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