10D1095133 CLIA NUMBER - CONCENTRA - ULMERTON

Laboratory Demographics

  • CLIA Code: 10D1095133
  • Facility Name: CONCENTRA - ULMERTON
  • Facility Address: 6170 ULMERTON ROAD
    CLEARWATER, FL
    ZIP 33760
  • Facility Phone: 727 532-7661
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIM BONDURANT
  • NPI Number: 1649757543
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1095133
LAB Type Physician Office
Facility Name CONCENTRA - ULMERTON
Street 6170 ULMERTON ROAD
City CLEARWATER
State FL
ZIP 33760
Phone 727 532-7661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Physician Office
Lab Director KIM BONDURANT

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