10D1012078 CLIA NUMBER - MID PINELLAS PRIMARY CARE PL

Laboratory Demographics

  • CLIA Code: 10D1012078
  • Facility Name: MID PINELLAS PRIMARY CARE PL
  • Facility Address: 13787 BELCHER RD SOUTH SUITE 100
    LARGO, FL
    ZIP 33771
  • Facility Phone: 727 535-9899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLAS OKESON
  • NPI Number: 1023058237
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1012078
LAB Type Physician Office
Facility Name MID PINELLAS PRIMARY CARE PL
Street 13787 BELCHER RD SOUTH SUITE 100
City LARGO
State FL
ZIP 33771
Phone 727 535-9899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director NICOLAS OKESON

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