10D2076717 CLIA NUMBER - NORTH PORT PRIMARY CARE ASSOCIATION PL

Laboratory Demographics

  • CLIA Code: 10D2076717
  • Facility Name: NORTH PORT PRIMARY CARE ASSOCIATION PL
  • Facility Address: 5575 E SR 44
    WILDWOOD, FL
    ZIP 34785
  • Facility Phone: 941 429-4744
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. GIRISH D. PATEL
  • NPI Number: 1003133455
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2076717
LAB Type Physician Office
Facility Name NORTH PORT PRIMARY CARE ASSOCIATION PL
Street 5575 E SR 44
City WILDWOOD
State FL
ZIP 34785
Phone 941 429-4744
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Physician Office
Lab Director DR. GIRISH D. PATEL

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