10D2135301 CLIA NUMBER - BAY REGIONAL URGENT CARE

Laboratory Demographics

  • CLIA Code: 10D2135301
  • Facility Name: BAY REGIONAL URGENT CARE
  • Facility Address: 2815 ALTERNATE 19 NORTH
    PALM HARBOR, FL
    ZIP 34683
  • Facility Phone: 813 293-6009
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: T J. MCNICHOL
  • NPI Number: 1467981613
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2135301
LAB Type Physician Office
Facility Name BAY REGIONAL URGENT CARE
Street 2815 ALTERNATE 19 NORTH
City PALM HARBOR
State FL
ZIP 34683
Phone 813 293-6009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Physician Office
Lab Director T J. MCNICHOL

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