10D2099105 CLIA NUMBER - NEPHROLOGY CONSULTANTS OF PINELLAS

Laboratory Demographics

  • CLIA Code: 10D2099105
  • Facility Name: NEPHROLOGY CONSULTANTS OF PINELLAS
  • Facility Address: 617 LAKEVIEW RD STE C
    CLEARWATER, FL
    ZIP 33756
  • Facility Phone: 727 441-3724
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL W. HAM
  • NPI Number: 1003837337
  • Taxonomy: 174400000X - Specialist

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2023
Certificate Expiration Date 7/20/2025
Facility Type Physician Office
Lab Director MICHAEL W. HAM

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