10D2188450 CLIA NUMBER - HERNANDO PASCO PRIMARY CARE, LLC DBA MYCARE MEDICAL

Laboratory Demographics

  • CLIA Code: 10D2188450
  • Facility Name: HERNANDO PASCO PRIMARY CARE, LLC DBA MYCARE MEDICAL
  • Facility Address: 34650 US HWY 19 N - STE 104
    PALM HARBOR, FL
    ZIP 34684
  • Facility Phone: 727 233-4895
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANTIAGO MORALES
  • NPI Number: 1811538051
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2188450
LAB Type Physician Office
Facility Name HERNANDO PASCO PRIMARY CARE, LLC DBA MYCARE MEDICAL
Street 34650 US HWY 19 N - STE 104
City PALM HARBOR
State FL
ZIP 34684
Phone 727 233-4895
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director SANTIAGO MORALES

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