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10D2128554 CLIA NUMBER - SOUTHEAST EYE INSTITUTE PA

Laboratory Demographics

CLIA Number: 10D2128554

Facility Name: SOUTHEAST EYE INSTITUTE PA

Facility Address:
9375 66TH STREET NORTH
PINELLAS PARK, FL
ZIP 33782
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Facility Phone Number: 727 541-4469

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1073625331

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 10D2128554
LAB Type Physician Office
Facility Name SOUTHEAST EYE INSTITUTE PA
Street 9375 66TH STREET NORTH
City PINELLAS PARK
State FL
ZIP 33782
Phone 727 541-4469
CertificateType 4
CertificateEffectiveDate 4/3/2023
CertificateExpirationDate 4/2/2025
FacilityType Waiver

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