10D2112965 CLIA NUMBER - NON SURGICAL ORTHOPEDICS AND SPINE

Laboratory Demographics

CLIA Number: 10D2112965

Facility Name: NON SURGICAL ORTHOPEDICS AND SPINE

Facility Address:
2325 ULMERTON RD STE 26
CLEARWATER, FL
ZIP 33762
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Facility Phone Number: 727 914-4591

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1275996589

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	10D2112965
LAB Type	Practitioner Other
Facility Name	NON SURGICAL ORTHOPEDICS AND SPINE
Street	2325 ULMERTON RD STE 26
City	CLEARWATER
State	FL
ZIP	33762
Phone	727 914-4591
CertificateType	4
CertificateEffectiveDate	5/12/2024
CertificateExpirationDate	5/11/2026
FacilityType	Waiver

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