10D1034504 CLIA NUMBER - WEST PARK SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D1034504
  • Facility Name: WEST PARK SURGERY CENTER
  • Facility Address: 6640 78TH AVE N STE B
    PINELLAS PARK, FL
    ZIP 33781
  • Facility Phone: (727) 549-0610
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEANNE M. PEZONE RN
  • NPI Number: 1043272750
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1034504
LAB Type Ambulatory Surgery Center
Facility Name WEST PARK SURGERY CENTER
Street 6640 78TH AVE N STE B
City PINELLAS PARK
State FL
ZIP 33781
Phone 7275490610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Ambulatory Surgery Center
Lab Director JEANNE M. PEZONE RN

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This page was last updated on: 6/29/2026