10D2149845 CLIA NUMBER - TRANQUIL SHORES

Laboratory Demographics

  • CLIA Code: 10D2149845
  • Facility Name: TRANQUIL SHORES
  • Facility Address: 18220 GULF BLVD
    REDINGTON SHORES, FL
    ZIP 33708
  • Facility Phone: 727 391-7001
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: CHAD JOHNSON
  • NPI Number: 1730496126
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2149845
LAB Type Comp. Outpatient Rehab Facility
Facility Name TRANQUIL SHORES
Street 18220 GULF BLVD
City REDINGTON SHORES
State FL
ZIP 33708
Phone 727 391-7001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director CHAD JOHNSON

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