10D2086492 CLIA NUMBER - LOVE THE GOLDEN RULE INC

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Laboratory Demographics

CLIA Number: 10D2086492

Facility Name: LOVE THE GOLDEN RULE INC

Facility Address:
3600 CENTRAL AVE
SAINT PETERSBURG, FL
ZIP 33711
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Facility Phone Number: 727 826-0700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1831580612

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2086492
LAB Type	Physician Office
Facility Name	LOVE THE GOLDEN RULE INC
Street	3600 CENTRAL AVE
City	SAINT PETERSBURG
State	FL
ZIP	33711
Phone	727 826-0700
CertificateType	4
CertificateEffectiveDate	11/5/2022
CertificateExpirationDate	11/4/2024
FacilityType	Waiver

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