10D2066030 CLIA NUMBER - PROFESSIONAL URGENT CARE SERVICES

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Laboratory Demographics

CLIA Number: 10D2066030

Facility Name: PROFESSIONAL URGENT CARE SERVICES

Facility Address:
640 TYRONE BLVD N
SAINT PETERSBURG, FL
ZIP 33710
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Facility Phone Number: 727 528-7827

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407283468

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2066030
LAB Type	Physician Office
Facility Name	PROFESSIONAL URGENT CARE SERVICES
Street	640 TYRONE BLVD N
City	SAINT PETERSBURG
State	FL
ZIP	33710
Phone	727 528-7827
CertificateType	4
CertificateEffectiveDate	9/19/2023
CertificateExpirationDate	9/18/2025
FacilityType	Waiver

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