10D2093618 CLIA NUMBER - GULFSHORE PERSONALIZED CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2093618
  • Facility Name: GULFSHORE PERSONALIZED CARE LLC
  • Facility Address: 1250 S TAMIAMI TRL STE 401
    SARASOTA, FL
    ZIP 34239
  • Facility Phone: 941 366-2194
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: E THOMAS ARNE JR
  • NPI Number: 1184017238
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2093618
LAB Type Physician Office
Facility Name GULFSHORE PERSONALIZED CARE LLC
Street 1250 S TAMIAMI TRL STE 401
City SARASOTA
State FL
ZIP 34239
Phone 941 366-2194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director E THOMAS ARNE JR

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