10D2211323 CLIA NUMBER - PRECIDENT FLORIDA, PLLC

Laboratory Demographics

  • CLIA Code: 10D2211323
  • Facility Name: PRECIDENT FLORIDA, PLLC
  • Facility Address: 390 4TH ST N
    SAINT PETERSBURG, FL
    ZIP 33701
  • Facility Phone: 727 300-0184
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT L. BOLDING
  • NPI Number: 1609464205
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 10D2211323
LAB Type Physician Office
Facility Name PRECIDENT FLORIDA, PLLC
Street 390 4TH ST N
City SAINT PETERSBURG
State FL
ZIP 33701
Phone 727 300-0184
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director SCOTT L. BOLDING

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