10D1103169 CLIA NUMBER - NEW PORT RICHEY HOME BASED PRIMARY CARE CLINIC

Laboratory Demographics

  • CLIA Code: 10D1103169
  • Facility Name: NEW PORT RICHEY HOME BASED PRIMARY CARE CLINIC
  • Facility Address: 7900 LITTLE ROAD
    NEW PORT RICHEY, FL
    ZIP 34654
  • Facility Phone: 727 697-5140
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: STEPHEN M. MASTORIDES
  • NPI Number: 1962470773
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1103169
LAB Type Community Clinic
Facility Name NEW PORT RICHEY HOME BASED PRIMARY CARE CLINIC
Street 7900 LITTLE ROAD
City NEW PORT RICHEY
State FL
ZIP 34654
Phone 727 697-5140
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/4/2009
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director STEPHEN M. MASTORIDES

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