10D2251268 CLIA NUMBER - VMD PRIMARY PROVIDERS CENTRAL FLORIDA, PLLC

Laboratory Demographics

  • CLIA Code: 10D2251268
  • Facility Name: VMD PRIMARY PROVIDERS CENTRAL FLORIDA, PLLC
  • Facility Address: 3390 CENTRAL AVE
    SAINT PETERSBURG, FL
    ZIP 33712
  • Facility Phone: 727 766-0000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RIMA S. BAKHDA
  • NPI Number: 1457054074
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2251268
LAB Type Physician Office
Facility Name VMD PRIMARY PROVIDERS CENTRAL FLORIDA, PLLC
Street 3390 CENTRAL AVE
City SAINT PETERSBURG
State FL
ZIP 33712
Phone 727 766-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director RIMA S. BAKHDA

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