10D2117009 CLIA NUMBER - SUNRISE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 10D2117009
  • Facility Name: SUNRISE MEDICAL CLINIC
  • Facility Address: 5750 5TH AVE N
    SAINT PETERSBURG, FL
    ZIP 33710
  • Facility Phone: 727 388-2625
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NILAM D. SHAH
  • NPI Number: 1194177857
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2117009
LAB Type Physician Office
Facility Name SUNRISE MEDICAL CLINIC
Street 5750 5TH AVE N
City SAINT PETERSBURG
State FL
ZIP 33710
Phone 727 388-2625
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director NILAM D. SHAH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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