10D2042700 CLIA NUMBER - SUNCOAST PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2042700
  • Facility Name: SUNCOAST PRIMARY CARE LLC
  • Facility Address: 7145 MARINER BLVD
    SPRING HILL, FL
    ZIP 34609
  • Facility Phone: 352 666-2250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANITHA KOLLI
  • NPI Number: 1174691448
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2042700
LAB Type Physician Office
Facility Name SUNCOAST PRIMARY CARE LLC
Street 7145 MARINER BLVD
City SPRING HILL
State FL
ZIP 34609
Phone 352 666-2250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director ANITHA KOLLI

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