10D2029063 CLIA NUMBER - BAYSIDE URGENT CARE CENTER INC

Laboratory Demographics

  • CLIA Code: 10D2029063
  • Facility Name: BAYSIDE URGENT CARE CENTER INC
  • Facility Address: 1001 S FT HARRISON AVE STE 101
    CLEARWATER, FL
    ZIP 33756
  • Facility Phone: 727 441-5044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD P. WALLACE
  • NPI Number: 1720005721
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2029063
LAB Type Physician Office
Facility Name BAYSIDE URGENT CARE CENTER INC
Street 1001 S FT HARRISON AVE STE 101
City CLEARWATER
State FL
ZIP 33756
Phone 727 441-5044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Physician Office
Lab Director RICHARD P. WALLACE

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