10D2255894 CLIA NUMBER - SMARTCARE PALM HARBOR, LLC

Laboratory Demographics

  • CLIA Code: 10D2255894
  • Facility Name: SMARTCARE PALM HARBOR, LLC
  • Facility Address: 1325 BELCHER RD STE B
    PALM HARBOR, FL
    ZIP 34683
  • Facility Phone: 727 855-4500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DANIEL PENELLO
  • NPI Number: 1982360780
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2255894
LAB Type Ambulatory Surgery Center
Facility Name SMARTCARE PALM HARBOR, LLC
Street 1325 BELCHER RD STE B
City PALM HARBOR
State FL
ZIP 34683
Phone 727 855-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Ambulatory Surgery Center
Lab Director DANIEL PENELLO

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