10D2182854 CLIA NUMBER - ST PETE DIRECT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2182854
  • Facility Name: ST PETE DIRECT PRIMARY CARE
  • Facility Address: 5047 CENTRAL AVE
    SAINT PETERSBURG, FL
    ZIP 33710
  • Facility Phone: (727) 339-5496
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC MCDOUGLE

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CLIA Record

Field Name Field Value
CLIA Number 10D2182854
LAB Type Physician Office
Facility Name ST PETE DIRECT PRIMARY CARE
Street 5047 CENTRAL AVE
City SAINT PETERSBURG
State FL
ZIP 33710
Phone 7273395496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2026
Certificate Expiration Date 4/26/2028
Facility Type Physician Office
Lab Director ERIC MCDOUGLE

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This page was last updated on: 6/29/2026