10D1003560 CLIA NUMBER - MIGUEL E TREVINO MD PA

Laboratory Demographics

  • CLIA Code: 10D1003560
  • Facility Name: MIGUEL E TREVINO MD PA
  • Facility Address: 1573 SOUTH FORT HARRISON AVE
    CLEARWATER, FL
    ZIP 33756
  • Facility Phone: 727 573-3775
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIGUEL E. TREVINO
  • NPI Number: 1760411029
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1003560
LAB Type Physician Office
Facility Name MIGUEL E TREVINO MD PA
Street 1573 SOUTH FORT HARRISON AVE
City CLEARWATER
State FL
ZIP 33756
Phone 727 573-3775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director MIGUEL E. TREVINO

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