10D1037976 CLIA NUMBER - CARILLON LABORATORY AT ST ANTHONY'S OUTPATIENT CENTER

Laboratory Demographics

  • CLIA Code: 10D1037976
  • Facility Name: CARILLON LABORATORY AT ST ANTHONY'S OUTPATIENT CENTER
  • Facility Address: 900 CARILLION PARK WAY STE 106C
    SAINT PETERSBURG, FL
    ZIP 33716
  • Facility Phone: 727 561-2418
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: KERN DAVIS
  • NPI Number: 1316189095
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1037976
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CARILLON LABORATORY AT ST ANTHONY'S OUTPATIENT CENTER
Street 900 CARILLION PARK WAY STE 106C
City SAINT PETERSBURG
State FL
ZIP 33716
Phone 727 561-2418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director KERN DAVIS

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