10D2080053 CLIA NUMBER - SANDBAY FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D2080053
  • Facility Name: SANDBAY FAMILY PRACTICE
  • Facility Address: 7599 PARK BLVD
    PINELLAS PARK, FL
    ZIP 33781
  • Facility Phone: 727 462-0100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY NGO
  • NPI Number: 1568774479
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2080053
LAB Type Physician Office
Facility Name SANDBAY FAMILY PRACTICE
Street 7599 PARK BLVD
City PINELLAS PARK
State FL
ZIP 33781
Phone 727 462-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Physician Office
Lab Director ANTHONY NGO

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