10D2215276 CLIA NUMBER - MEDWAY MEDICAL CENTERS LLC

Laboratory Demographics

  • CLIA Code: 10D2215276
  • Facility Name: MEDWAY MEDICAL CENTERS LLC
  • Facility Address: 4802 GRAND BLVD
    NEW PORT RICHEY, FL
    ZIP 34652
  • Facility Phone: 727 877-0004
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE V. PEREZ
  • NPI Number: 1669063475
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2215276
LAB Type Physician Office
Facility Name MEDWAY MEDICAL CENTERS LLC
Street 4802 GRAND BLVD
City NEW PORT RICHEY
State FL
ZIP 34652
Phone 727 877-0004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director JOSE V. PEREZ

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