10D2229252 CLIA NUMBER - BAY AREA DIRECT CLIENT CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2229252
  • Facility Name: BAY AREA DIRECT CLIENT CARE LLC
  • Facility Address: 110 LITHIA PINECREST RD - STE B
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 679-5122
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DESHAE B. MARTIN
  • NPI Number: 1356835862
  • Taxonomy: 207RI0001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2229252
LAB Type Community Clinic
Facility Name BAY AREA DIRECT CLIENT CARE LLC
Street 110 LITHIA PINECREST RD - STE B
City BRANDON
State FL
ZIP 33511
Phone 813 679-5122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Community Clinic
Lab Director DESHAE B. MARTIN

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