10D2003918 CLIA NUMBER - HERNANDO PASCO PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2003918
  • Facility Name: HERNANDO PASCO PRIMARY CARE
  • Facility Address: 13906 LAKESHORE BLVD STE 330
    HUDSON, FL
    ZIP 34667
  • Facility Phone: 352 596-3032
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHIRAG N. PATEL
  • NPI Number: 1245273093
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2003918
LAB Type Physician Office
Facility Name HERNANDO PASCO PRIMARY CARE
Street 13906 LAKESHORE BLVD STE 330
City HUDSON
State FL
ZIP 34667
Phone 352 596-3032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director CHIRAG N. PATEL

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