10D2023319 CLIA NUMBER - SPECIALIST DOCTORS GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2023319
  • Facility Name: SPECIALIST DOCTORS GROUP LLC
  • Facility Address: 210 N ALEXANDER ST
    PLANT CITY, FL
    ZIP 33563
  • Facility Phone: 813 719-3525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. SALVATO
  • NPI Number: 1487963864
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2023319
LAB Type Physician Office
Facility Name SPECIALIST DOCTORS GROUP LLC
Street 210 N ALEXANDER ST
City PLANT CITY
State FL
ZIP 33563
Phone 813 719-3525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director MICHAEL A. SALVATO

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