10D1040807 CLIA NUMBER - LEE SHETTLE DO PA

Laboratory Demographics

  • CLIA Code: 10D1040807
  • Facility Name: LEE SHETTLE DO PA
  • Facility Address: 13113 66TH ST, N
    LARGO, FL
    ZIP 33773
  • Facility Phone: 727 674-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEE SHETTLE
  • NPI Number: 1780981779
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 10D1040807
LAB Type Physician Office
Facility Name LEE SHETTLE DO PA
Street 13113 66TH ST, N
City LARGO
State FL
ZIP 33773
Phone 727 674-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Physician Office
Lab Director LEE SHETTLE

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