10D2139698 CLIA NUMBER - PRAWER MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 10D2139698
  • Facility Name: PRAWER MEDICAL GROUP
  • Facility Address: 5101 BRITTANY DR SOUTH
    SAINT PETERSBURG, FL
    ZIP 33715
  • Facility Phone: 727 954-7204
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADAM J. PRAWER
  • NPI Number: 1275053415
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2139698
LAB Type Physician Office
Facility Name PRAWER MEDICAL GROUP
Street 5101 BRITTANY DR SOUTH
City SAINT PETERSBURG
State FL
ZIP 33715
Phone 727 954-7204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Physician Office
Lab Director ADAM J. PRAWER

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