10D2068774 CLIA NUMBER - SPECIALISTS DOCTORS GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2068774
  • Facility Name: SPECIALISTS DOCTORS GROUP LLC
  • Facility Address: 1910 W REYNOLDS ST
    PLANT CITY, FL
    ZIP 33563
  • Facility Phone: 813 754-3668
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. SALVATO
  • NPI Number: 1922432657
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2068774
LAB Type Physician Office
Facility Name SPECIALISTS DOCTORS GROUP LLC
Street 1910 W REYNOLDS ST
City PLANT CITY
State FL
ZIP 33563
Phone 813 754-3668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Physician Office
Lab Director MICHAEL A. SALVATO

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