10D2179815 CLIA NUMBER - ENT AND ALLERGY ASSOCIATES OF FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D2179815
  • Facility Name: ENT AND ALLERGY ASSOCIATES OF FLORIDA LLC
  • Facility Address: 3131 N MCMULLEN BOOTH RD 2ND FL
    CLEARWATER, FL
    ZIP 33761
  • Facility Phone: 813 879-8045
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIGUEL A. RIVERA
  • NPI Number: 1760553622
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2179815
LAB Type Physician Office
Facility Name ENT AND ALLERGY ASSOCIATES OF FLORIDA LLC
Street 3131 N MCMULLEN BOOTH RD 2ND FL
City CLEARWATER
State FL
ZIP 33761
Phone 813 879-8045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Physician Office
Lab Director MIGUEL A. RIVERA

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