10D2190052 CLIA NUMBER - PINELLAS VASCULAR LLC

Laboratory Demographics

  • CLIA Code: 10D2190052
  • Facility Name: PINELLAS VASCULAR LLC
  • Facility Address: 5880 49TH ST N, SUITE 206
    SAINT PETERSBURG, FL
    ZIP 33709
  • Facility Phone: 727 870-3566
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AVIANNE BUNNELL
  • NPI Number: 1285765040
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2190052
LAB Type Physician Office
Facility Name PINELLAS VASCULAR LLC
Street 5880 49TH ST N, SUITE 206
City SAINT PETERSBURG
State FL
ZIP 33709
Phone 727 870-3566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director AVIANNE BUNNELL

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