10D2002039 CLIA NUMBER - WEST COAST NEONATOLOGY INC D/B/A ALL CHILDRENS OBSTETRICS AND GYNECOLOGY SPECIALISTS

Laboratory Demographics

  • CLIA Code: 10D2002039
  • Facility Name: WEST COAST NEONATOLOGY INC D/B/A ALL CHILDRENS OBSTETRICS AND GYNECOLOGY SPECIALISTS
  • Facility Address: 5959 CENTRAL AVE SUITE 103
    SAINT PETERSBURG, FL
    ZIP 33710
  • Facility Phone: 727 344-6060
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SUZANNE T. ICELY
  • NPI Number: 1710213525
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D2002039
LAB Type Physician Office
Facility Name WEST COAST NEONATOLOGY INC D/B/A ALL CHILDRENS OBSTETRICS AND GYNECOLOGY SPECIALISTS
Street 5959 CENTRAL AVE SUITE 103
City SAINT PETERSBURG
State FL
ZIP 33710
Phone 727 344-6060
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Physician Office
Lab Director DR. SUZANNE T. ICELY

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