10D2045813 CLIA NUMBER - UNIVERSITY PARK OBGYN, LLC

Laboratory Demographics

  • CLIA Code: 10D2045813
  • Facility Name: UNIVERSITY PARK OBGYN, LLC
  • Facility Address: 2401 UNIVERSITY PKWY STE 201
    SARASOTA, FL
    ZIP 34243
  • Facility Phone: 941 359-8300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHAWN STEPHENS
  • NPI Number: 1235356965
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2045813
LAB Type Physician Office
Facility Name UNIVERSITY PARK OBGYN, LLC
Street 2401 UNIVERSITY PKWY STE 201
City SARASOTA
State FL
ZIP 34243
Phone 941 359-8300
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/11/2024
Certificate Expiration Date 11/10/2026
Facility Type Physician Office
Lab Director SHAWN STEPHENS

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