10D2026071 CLIA NUMBER - ADVANCE GASTROENTEROLOGY AND PULMONARY CARE

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Laboratory Demographics

CLIA Number: 10D2026071

Facility Name: ADVANCE GASTROENTEROLOGY AND PULMONARY CARE

Facility Address:
7128 SAGHEER ST
BROOKSVILLE, FL
ZIP 34613
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Facility Phone Number: 352 345-4876

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1992941868

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D2026071
LAB Type	Physician Office
Facility Name	ADVANCE GASTROENTEROLOGY AND PULMONARY CARE
Street	7128 SAGHEER ST
City	BROOKSVILLE
State	FL
ZIP	34613
Phone	352 345-4876
CertificateType	2
CertificateEffectiveDate	1/26/2023
CertificateExpirationDate	1/25/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024