10D2067723 CLIA NUMBER - FOOTPRINTS BEACHSIDE RECOVERY

Laboratory Demographics

  • CLIA Code: 10D2067723
  • Facility Name: FOOTPRINTS BEACHSIDE RECOVERY
  • Facility Address: 9641 GULF BLVD - STE B
    TREASURE ISLAND, FL
    ZIP 33706
  • Facility Phone: 727 954-3908
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: SPEROS HAMPILOS
  • NPI Number: 1487002457
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2067723
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name FOOTPRINTS BEACHSIDE RECOVERY
Street 9641 GULF BLVD - STE B
City TREASURE ISLAND
State FL
ZIP 33706
Phone 727 954-3908
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director SPEROS HAMPILOS

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