10D1083831 CLIA NUMBER - PINELLAS PHYSIATRY ASSOCIATES PA

Laboratory Demographics

  • CLIA Code: 10D1083831
  • Facility Name: PINELLAS PHYSIATRY ASSOCIATES PA
  • Facility Address: 4400 140TH AVE N # 110
    CLEARWATER, FL
    ZIP 33762
  • Facility Phone: 727 327-2600
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MARC REISKIND
  • NPI Number: 1316098239
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D1083831
LAB Type Mobile Laboratory
Facility Name PINELLAS PHYSIATRY ASSOCIATES PA
Street 4400 140TH AVE N # 110
City CLEARWATER
State FL
ZIP 33762
Phone 727 327-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Mobile Laboratory
Lab Director MARC REISKIND

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