10D2244156 CLIA NUMBER - EDEL ALVAREZ MD LLC

Laboratory Demographics

CLIA Number: 10D2244156

Facility Name: EDEL ALVAREZ MD LLC

Facility Address:
2878 ROOSEVELT BLVD
CLEARWATER, FL
ZIP 33760
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Facility Phone Number: 813 453-7931

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477930501

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D2244156
LAB Type	Physician Office
Facility Name	EDEL ALVAREZ MD LLC
Street	2878 ROOSEVELT BLVD
City	CLEARWATER
State	FL
ZIP	33760
Phone	813 453-7931
CertificateType	4
CertificateEffectiveDate	11/30/2023
CertificateExpirationDate	11/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024