10D2027680 CLIA NUMBER - SHOREPOINT OBSTETRICS AND GYNECOLOGY

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Laboratory Demographics

CLIA Number: 10D2027680

Facility Name: SHOREPOINT OBSTETRICS AND GYNECOLOGY

Facility Address:
2380 HARBOR BLVD
PORT CHARLOTTE, FL
ZIP 33952
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Facility Phone Number: 941 833-1750

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1730672379

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2027680
LAB Type	Physician Office
Facility Name	SHOREPOINT OBSTETRICS AND GYNECOLOGY
Street	2380 HARBOR BLVD
City	PORT CHARLOTTE
State	FL
ZIP	33952
Phone	941 833-1750
CertificateType	3
CertificateEffectiveDate	12/2/2022
CertificateExpirationDate	12/1/2024
FacilityType	PPMP

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