10D2164097 CLIA NUMBER - STEPHEN A UPDEGRAFF MD PA

Laboratory Demographics

  • CLIA Code: 10D2164097
  • Facility Name: STEPHEN A UPDEGRAFF MD PA
  • Facility Address: 1601 38TH AVE NORTH STE 100
    SAINT PETERSBURG, FL
    ZIP 33713
  • Facility Phone: 727 822-4287
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN A. UPDEGRAFF
  • NPI Number: 1245232446
  • Taxonomy: 207W00000X - Ophthalmology

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director STEPHEN A. UPDEGRAFF

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