10D1076374 CLIA NUMBER - PRIMACARE HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D1076374
  • Facility Name: PRIMACARE HEALTH LLC
  • Facility Address: 5800 49TH ST NORTH - STE S103
    SAINT PETERSBURG, FL
    ZIP 33709
  • Facility Phone: 727 823-4848
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN L. WHEELER
  • NPI Number: 1396229605
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1076374
LAB Type Physician Office
Facility Name PRIMACARE HEALTH LLC
Street 5800 49TH ST NORTH - STE S103
City SAINT PETERSBURG
State FL
ZIP 33709
Phone 727 823-4848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Physician Office
Lab Director JOHN L. WHEELER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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