10D1097646 CLIA NUMBER - ADVANCED BAY AREA MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D1097646
  • Facility Name: ADVANCED BAY AREA MEDICAL ASSOCIATES
  • Facility Address: 8207 113 ST NORTH
    SEMINOLE, FL
    ZIP 33772
  • Facility Phone: 727 397-3991
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY R. LEVENSON
  • NPI Number: 1588055164
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1097646
LAB Type Physician Office
Facility Name ADVANCED BAY AREA MEDICAL ASSOCIATES
Street 8207 113 ST NORTH
City SEMINOLE
State FL
ZIP 33772
Phone 727 397-3991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director JEFFREY R. LEVENSON

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