10D1080832 CLIA NUMBER - BARDMOOR EMERGENCY CENTER

Laboratory Demographics

CLIA Number: 10D1080832

Facility Name: BARDMOOR EMERGENCY CENTER

Facility Address:
8839 BRYAN DAIRY RD
LARGO, FL
ZIP 33777
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Facility Phone Number: 727 395-2653

Facility Type: Other - FREE STANDING ER

Certificate Type: Waiver

NPI Number: 1811923386

Taxonomy: 261QX0203X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 10D1080832
LAB Type Other - FREE STANDING ER
Facility Name BARDMOOR EMERGENCY CENTER
Street 8839 BRYAN DAIRY RD
City LARGO
State FL
ZIP 33777
Phone 727 395-2653
CertificateType 4
CertificateEffectiveDate 3/3/2024
CertificateExpirationDate 3/2/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024