10D1100079 CLIA NUMBER - FLORIDA SPINE CENTER

Laboratory Demographics

  • CLIA Code: 10D1100079
  • Facility Name: FLORIDA SPINE CENTER
  • Facility Address: 2030 DREW STREET
    CLEARWATER, FL
    ZIP 33765
  • Facility Phone: 727 462-5582
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENNIS M. LOX
  • NPI Number: 1841315983
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1100079
LAB Type Physician Office
Facility Name FLORIDA SPINE CENTER
Street 2030 DREW STREET
City CLEARWATER
State FL
ZIP 33765
Phone 727 462-5582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Physician Office
Lab Director DENNIS M. LOX

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