10D2209554 CLIA NUMBER - MICHAEL STINE DO LLC

Laboratory Demographics

  • CLIA Code: 10D2209554
  • Facility Name: MICHAEL STINE DO LLC
  • Facility Address: 1122 BELL SHOALS ROAD SUITE 101
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 553-7700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL STINE
  • NPI Number: 1518507227
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2209554
LAB Type Physician Office
Facility Name MICHAEL STINE DO LLC
Street 1122 BELL SHOALS ROAD SUITE 101
City BRANDON
State FL
ZIP 33511
Phone 813 553-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director MICHAEL STINE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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