10D1102069 CLIA NUMBER - CLINICAL NEUROSCIENCES OF TAMPA BAY LLP

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Laboratory Demographics

CLIA Number: 10D1102069

Facility Name: CLINICAL NEUROSCIENCES OF TAMPA BAY LLP

Facility Address:
430 MORTON PLANT ST STE 400
CLEARWATER, FL
ZIP 33756
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Facility Phone Number: 727 443-3295

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659320992

Taxonomy: 2084N0400X - Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

CLIA Record

Field Name	Field Value
CLIA Number	10D1102069
LAB Type	Physician Office
Facility Name	CLINICAL NEUROSCIENCES OF TAMPA BAY LLP
Street	430 MORTON PLANT ST STE 400
City	CLEARWATER
State	FL
ZIP	33756
Phone	727 443-3295
CertificateType	4
CertificateEffectiveDate	7/10/2023
CertificateExpirationDate	7/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024