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10D2139758 CLIA NUMBER - BAY AREA GASTROINTESTINAL ENDOSCOPY AND LIVER SPEC

Laboratory Demographics

CLIA Number: 10D2139758

Facility Name: BAY AREA GASTROINTESTINAL ENDOSCOPY AND LIVER SPEC

Facility Address:
1305 S FT HARRISON AVE STE E
CLEARWATER, FL
ZIP 33756
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Facility Phone Number: 727 631-0915

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1699797266

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 10D2139758
LAB Type Physician Office
Facility Name BAY AREA GASTROINTESTINAL ENDOSCOPY AND LIVER SPEC
Street 1305 S FT HARRISON AVE STE E
City CLEARWATER
State FL
ZIP 33756
Phone 727 631-0915
CertificateType 2
CertificateEffectiveDate 12/22/2023
CertificateExpirationDate 12/21/2025
FacilityType Compliance

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