10D2081277 CLIA NUMBER - BAYCARE MEDICAL GROUP INC

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Laboratory Demographics

CLIA Number: 10D2081277

Facility Name: BAYCARE MEDICAL GROUP INC

Facility Address:
455 PINELLAS ST
CLEARWATER, FL
ZIP 33756
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Facility Phone Number: 727 462-3701

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598438632

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	10D2081277
LAB Type	Physician Office
Facility Name	BAYCARE MEDICAL GROUP INC
Street	455 PINELLAS ST
City	CLEARWATER
State	FL
ZIP	33756
Phone	727 462-3701
CertificateType	4
CertificateEffectiveDate	7/22/2022
CertificateExpirationDate	7/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024