10D0998052 CLIA NUMBER - YERVANT KHATCHERIAN MD PA

Laboratory Demographics

CLIA Number: 10D0998052

Facility Name: YERVANT KHATCHERIAN MD PA

Facility Address:
29605 US 19 N #170
CLEARWATER, FL
ZIP 33761
Get Directions

Facility Phone Number: 727 787-5491

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023332905

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	10D0998052
LAB Type	Physician Office
Facility Name	YERVANT KHATCHERIAN MD PA
Street	29605 US 19 N #170
City	CLEARWATER
State	FL
ZIP	33761
Phone	727 787-5491
CertificateType	4
CertificateEffectiveDate	4/3/2024
CertificateExpirationDate	4/2/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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