10D1042245 CLIA NUMBER - SUNCOAST NEUROSCIENCE ASSOCIATES, INC

Laboratory Demographics

  • CLIA Code: 10D1042245
  • Facility Name: SUNCOAST NEUROSCIENCE ASSOCIATES, INC
  • Facility Address: 2201 CENTRAL AVE STE 301
    SAINT PETERSBURG, FL
    ZIP 33713
  • Facility Phone: 727 824-7135
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALBERTO B. VASQUEZ
  • NPI Number: 1598704561
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D1042245
LAB Type Physician Office
Facility Name SUNCOAST NEUROSCIENCE ASSOCIATES, INC
Street 2201 CENTRAL AVE STE 301
City SAINT PETERSBURG
State FL
ZIP 33713
Phone 727 824-7135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director ALBERTO B. VASQUEZ

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