10D2073071 CLIA NUMBER - JORDAN T YOUNG MD

Laboratory Demographics

  • CLIA Code: 10D2073071
  • Facility Name: JORDAN T YOUNG MD
  • Facility Address: 9332 STATE RD 54 STE 202
    NEW PORT RICHEY, FL
    ZIP 34655
  • Facility Phone: 727 577-4441
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORDAN T. YOUNG
  • NPI Number: 1023659562
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 10D2073071
LAB Type Physician Office
Facility Name JORDAN T YOUNG MD
Street 9332 STATE RD 54 STE 202
City NEW PORT RICHEY
State FL
ZIP 34655
Phone 727 577-4441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Physician Office
Lab Director JORDAN T. YOUNG

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