10D2017108 CLIA NUMBER - PEARL INSTITUTE

Laboratory Demographics

  • CLIA Code: 10D2017108
  • Facility Name: PEARL INSTITUTE
  • Facility Address: 217 CRYSTAL GROVE BLVD
    LUTZ, FL
    ZIP 33548
  • Facility Phone: 813 454-4044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SADAF BAZARGAN
  • NPI Number: 1386839660
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2017108
LAB Type Physician Office
Facility Name PEARL INSTITUTE
Street 217 CRYSTAL GROVE BLVD
City LUTZ
State FL
ZIP 33548
Phone 813 454-4044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director SADAF BAZARGAN

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