10D1082330 CLIA NUMBER - BAYSIDE NURSING AND REHAB LLC

Laboratory Demographics

  • CLIA Code: 10D1082330
  • Facility Name: BAYSIDE NURSING AND REHAB LLC
  • Facility Address: 811 JACKSON ST N
    SAINT PETERSBURG, FL
    ZIP 33705
  • Facility Phone: 727 209-3600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RONALD TENECZA
  • NPI Number: 1073998522
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1082330
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BAYSIDE NURSING AND REHAB LLC
Street 811 JACKSON ST N
City SAINT PETERSBURG
State FL
ZIP 33705
Phone 727 209-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RONALD TENECZA

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This page was last updated on: 6/4/2025