10D1099424 CLIA NUMBER - SUNCOAST PRIMARY CARE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 10D1099424
  • Facility Name: SUNCOAST PRIMARY CARE SPECIALISTS
  • Facility Address: 7991 S SUNCOAST BLVD
    HOMOSASSA, FL
    ZIP 34446
  • Facility Phone: 352 489-2486
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEX T. VILLACASTIN
  • NPI Number: 1912322819
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D1099424
LAB Type Physician Office
Facility Name SUNCOAST PRIMARY CARE SPECIALISTS
Street 7991 S SUNCOAST BLVD
City HOMOSASSA
State FL
ZIP 34446
Phone 352 489-2486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director ALEX T. VILLACASTIN

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