10D2245158 CLIA NUMBER - BAY LIFE PHARMACY II

Laboratory Demographics

  • CLIA Code: 10D2245158
  • Facility Name: BAY LIFE PHARMACY II
  • Facility Address: 5665 PARK ST NORTH
    SAINT PETERSBURG, FL
    ZIP 33709
  • Facility Phone: 727 216-6374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BYRON S. MCCELLAN
  • NPI Number: 1205115656
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2245158
LAB Type Pharmacy
Facility Name BAY LIFE PHARMACY II
Street 5665 PARK ST NORTH
City SAINT PETERSBURG
State FL
ZIP 33709
Phone 727 216-6374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Pharmacy
Lab Director BYRON S. MCCELLAN

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