10D2135320 CLIA NUMBER - HERNANDO PASCO PRIMARY CARE LLC, DBA MYCARE MEDICAL

Laboratory Demographics

  • CLIA Code: 10D2135320
  • Facility Name: HERNANDO PASCO PRIMARY CARE LLC, DBA MYCARE MEDICAL
  • Facility Address: 3502 KYOTO GARDENS DRIVE
    PALM BEACH GARDENS, FL
    ZIP 33410
  • Facility Phone: 813 702-1133
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUPESH R. DHARIA
  • NPI Number: 1063695708
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2135320
LAB Type Physician Office
Facility Name HERNANDO PASCO PRIMARY CARE LLC, DBA MYCARE MEDICAL
Street 3502 KYOTO GARDENS DRIVE
City PALM BEACH GARDENS
State FL
ZIP 33410
Phone 813 702-1133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director RUPESH R. DHARIA

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