10D1104440 CLIA NUMBER - SPINE AND ORTHOPAEDIC SPECIALISTS PLLC

Laboratory Demographics

  • CLIA Code: 10D1104440
  • Facility Name: SPINE AND ORTHOPAEDIC SPECIALISTS PLLC
  • Facility Address: 2040 SHORT AVE
    ODESSA, FL
    ZIP 33556
  • Facility Phone: 727 372-9922
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTOR I. HAYES
  • NPI Number: 1487743563
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D1104440
LAB Type Physician Office
Facility Name SPINE AND ORTHOPAEDIC SPECIALISTS PLLC
Street 2040 SHORT AVE
City ODESSA
State FL
ZIP 33556
Phone 727 372-9922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Physician Office
Lab Director VICTOR I. HAYES

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