10D2096358 CLIA NUMBER - ADVANTAGE MENTAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 10D2096358
  • Facility Name: ADVANTAGE MENTAL HEALTH CENTER
  • Facility Address: 28465 US HWY 19 N BLDG 2 STE 200
    CLEARWATER, FL
    ZIP 33761
  • Facility Phone: 727 600-8093
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM M. HERVEY
  • NPI Number: 1780168385
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2096358
LAB Type Physician Office
Facility Name ADVANTAGE MENTAL HEALTH CENTER
Street 28465 US HWY 19 N BLDG 2 STE 200
City CLEARWATER
State FL
ZIP 33761
Phone 727 600-8093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2023
Certificate Expiration Date 5/20/2025
Facility Type Physician Office
Lab Director WILLIAM M. HERVEY

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This page was last updated on: 3/20/2025