10D2046967 CLIA NUMBER - WEST COAST PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2046967
  • Facility Name: WEST COAST PRIMARY CARE LLC
  • Facility Address: 8250 BRYAN DAIRY RD STE 305
    LARGO, FL
    ZIP 33777
  • Facility Phone: 727 391-5008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDUARDO MARTINEZ
  • NPI Number: 1528327087
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2046967
LAB Type Physician Office
Facility Name WEST COAST PRIMARY CARE LLC
Street 8250 BRYAN DAIRY RD STE 305
City LARGO
State FL
ZIP 33777
Phone 727 391-5008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Physician Office
Lab Director EDUARDO MARTINEZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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