10D2231922 CLIA NUMBER - BAYCARE OUTPATIENT IMAGING LLC

Laboratory Demographics

  • CLIA Code: 10D2231922
  • Facility Name: BAYCARE OUTPATIENT IMAGING LLC
  • Facility Address: 18600 FERNVIEW ST, STE 101
    LAND O LAKES, FL
    ZIP 34638
  • Facility Phone: 813 692-8015
  • Facility Type: Other - OP IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: PAUL SWARTZ
  • NPI Number: 1164006359
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2231922
LAB Type Other - OP IMAGING CENTER
Facility Name BAYCARE OUTPATIENT IMAGING LLC
Street 18600 FERNVIEW ST, STE 101
City LAND O LAKES
State FL
ZIP 34638
Phone 813 692-8015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Other - OP IMAGING CENTER
Lab Director PAUL SWARTZ

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