10D2017987 CLIA NUMBER - SURGCENTER PINELLAS

Laboratory Demographics

  • CLIA Code: 10D2017987
  • Facility Name: SURGCENTER PINELLAS
  • Facility Address: 12416 66TH ST N STE D
    LARGO, FL
    ZIP 33773
  • Facility Phone: 727 744-7917
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VLADIMIR A. ALEXANDER
  • NPI Number: 1881905792
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2017987
LAB Type Ambulatory Surgery Center
Facility Name SURGCENTER PINELLAS
Street 12416 66TH ST N STE D
City LARGO
State FL
ZIP 33773
Phone 727 744-7917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Ambulatory Surgery Center
Lab Director VLADIMIR A. ALEXANDER

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