10D2224744 CLIA NUMBER - TIMOTHY C RUNYON DPM PA

Laboratory Demographics

  • CLIA Code: 10D2224744
  • Facility Name: TIMOTHY C RUNYON DPM PA
  • Facility Address: 1401 16TH ST N
    SAINT PETERSBURG, FL
    ZIP 33704
  • Facility Phone: 727 894-0794
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: EDWIN L. KAMSTOCK
  • NPI Number: 1881657740
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 10D2224744
LAB Type Physician Office
Facility Name TIMOTHY C RUNYON DPM PA
Street 1401 16TH ST N
City SAINT PETERSBURG
State FL
ZIP 33704
Phone 727 894-0794
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director EDWIN L. KAMSTOCK

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