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10D2164097 CLIA NUMBER - STEPHEN A UPDEGRAFF MD PA

Laboratory Demographics

CLIA Number: 10D2164097

Facility Name: STEPHEN A UPDEGRAFF MD PA

Facility Address:
1601 38TH AVE NORTH STE 100
SAINT PETERSBURG, FL
ZIP 33713
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Facility Phone Number: 727 822-4287

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1245232446

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 10D2164097
LAB Type Physician Office
Facility Name STEPHEN A UPDEGRAFF MD PA
Street 1601 38TH AVE NORTH STE 100
City SAINT PETERSBURG
State FL
ZIP 33713
Phone 727 822-4287
CertificateType 4
CertificateEffectiveDate 3/28/2023
CertificateExpirationDate 3/27/2025
FacilityType Waiver

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