10D1005402 CLIA NUMBER - FAMILY WELLCARE PA

Laboratory Demographics

CLIA Number: 10D1005402

Facility Name: FAMILY WELLCARE PA

Facility Address:
3935 TAMPA RD SUITE 6
OLDSMAR, FL
ZIP 34677
Get Directions

Facility Phone Number: 727 723-3921

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811082407

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	10D1005402
LAB Type	Physician Office
Facility Name	FAMILY WELLCARE PA
Street	3935 TAMPA RD SUITE 6
City	OLDSMAR
State	FL
ZIP	34677
Phone	727 723-3921
CertificateType	4
CertificateEffectiveDate	10/22/2022
CertificateExpirationDate	10/21/2024
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