10D2046967 CLIA NUMBER - WEST COAST PRIMARY CARE LLC

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Laboratory Demographics

CLIA Number: 10D2046967

Facility Name: WEST COAST PRIMARY CARE LLC

Facility Address:
8250 BRYAN DAIRY RD STE 305
LARGO, FL
ZIP 33777
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Facility Phone Number: 727 391-5008

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528327087

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	9/14/2022
CertificateExpirationDate	9/13/2024
FacilityType	Waiver

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