10D1091833 CLIA NUMBER - FLORIDA MED CENTER OF COUNTRYSIDE

Laboratory Demographics

  • CLIA Code: 10D1091833
  • Facility Name: FLORIDA MED CENTER OF COUNTRYSIDE
  • Facility Address: 2595 TAMPA RD STE M
    PALM HARBOR, FL
    ZIP 34684
  • Facility Phone: 727 772-8007
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI M. SAIFI MD
  • NPI Number: 1477540409
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1091833
LAB Type Physician Office
Facility Name FLORIDA MED CENTER OF COUNTRYSIDE
Street 2595 TAMPA RD STE M
City PALM HARBOR
State FL
ZIP 34684
Phone 727 772-8007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Physician Office
Lab Director ALI M. SAIFI MD

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