10D1096369 CLIA NUMBER - GEORGE S SIDHOM MD PA D/B/A BRANDON PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 10D1096369
  • Facility Name: GEORGE S SIDHOM MD PA D/B/A BRANDON PAIN CLINIC
  • Facility Address: 722 BOWING OAK DR
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 684-7246
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. GEORGE S. SIDHOM
  • NPI Number: 1336336130
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1096369
LAB Type Physician Office
Facility Name GEORGE S SIDHOM MD PA D/B/A BRANDON PAIN CLINIC
Street 722 BOWING OAK DR
City BRANDON
State FL
ZIP 33511
Phone 813 684-7246
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director DR. GEORGE S. SIDHOM

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