10D2220945 CLIA NUMBER - PRECIDENT FLORIDA, PLLC

Laboratory Demographics

  • CLIA Code: 10D2220945
  • Facility Name: PRECIDENT FLORIDA, PLLC
  • Facility Address: 10601 SEMINOLE BLVD
    LARGO, FL
    ZIP 33778
  • Facility Phone: (727) 300-0184
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT L. BOLDING
  • NPI Number: 1154045599
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 10D2220945
LAB Type Physician Office
Facility Name PRECIDENT FLORIDA, PLLC
Street 10601 SEMINOLE BLVD
City LARGO
State FL
ZIP 33778
Phone 7273000184
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Physician Office
Lab Director SCOTT L. BOLDING

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This page was last updated on: 5/18/2026