10D2099105 CLIA NUMBER - NEPHROLOGY CONSULTANTS OF PINELLAS

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Laboratory Demographics

CLIA Number: 10D2099105

Facility Name: NEPHROLOGY CONSULTANTS OF PINELLAS

Facility Address:
617 LAKEVIEW RD STE C
CLEARWATER, FL
ZIP 33756
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Facility Phone Number: 727 441-3724

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003837337

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2099105
LAB Type	Physician Office
Facility Name	NEPHROLOGY CONSULTANTS OF PINELLAS
Street	617 LAKEVIEW RD STE C
City	CLEARWATER
State	FL
ZIP	33756
Phone	727 441-3724
CertificateType	4
CertificateEffectiveDate	7/21/2023
CertificateExpirationDate	7/20/2025
FacilityType	Waiver

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