10D2073939 CLIA NUMBER - SUNCOAST CENTER INC

Laboratory Demographics

  • CLIA Code: 10D2073939
  • Facility Name: SUNCOAST CENTER INC
  • Facility Address: 4024 CENTRAL AVE
    SAINT PETERSBURG, FL
    ZIP 33711
  • Facility Phone: 727 327-7656
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MARCO RABINES-BURGA
  • NPI Number: 1659371763
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2073939
LAB Type Community Clinic
Facility Name SUNCOAST CENTER INC
Street 4024 CENTRAL AVE
City SAINT PETERSBURG
State FL
ZIP 33711
Phone 727 327-7656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Community Clinic
Lab Director MARCO RABINES-BURGA

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