10D0994171 CLIA NUMBER - BAYCARE MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 10D0994171
  • Facility Name: BAYCARE MEDICAL GROUP, INC
  • Facility Address: 620 10TH ST N STE 3A
    SAINT PETERSBURG, FL
    ZIP 33705
  • Facility Phone: 727 824-7105
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JAMES CONNORS
  • NPI Number: 1467022814
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D0994171
LAB Type Physician Office
Facility Name BAYCARE MEDICAL GROUP, INC
Street 620 10TH ST N STE 3A
City SAINT PETERSBURG
State FL
ZIP 33705
Phone 727 824-7105
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director DR. JAMES CONNORS

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This page was last updated on: 3/20/2025