10D2169138 CLIA NUMBER - GULFCOAST EYE CARE

Laboratory Demographics

CLIA Number: 10D2169138

Facility Name: GULFCOAST EYE CARE

Facility Address:
1515 9TH AVE NORTH
SAINT PETERSBURG, FL
ZIP 33705
Get Directions

Facility Phone Number: 727 595-2020

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245477868

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	10D2169138
LAB Type	Physician Office
Facility Name	GULFCOAST EYE CARE
Street	1515 9TH AVE NORTH
City	SAINT PETERSBURG
State	FL
ZIP	33705
Phone	727 595-2020
CertificateType	4
CertificateEffectiveDate	7/16/2023
CertificateExpirationDate	7/15/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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