10D2264886 CLIA NUMBER - CARLOS A LABRADOR, MD, PA DBA LABRADOR PRIMARY CARE CENTER

Laboratory Demographics

  • CLIA Code: 10D2264886
  • Facility Name: CARLOS A LABRADOR, MD, PA DBA LABRADOR PRIMARY CARE CENTER
  • Facility Address: 2200 56TH ST S
    GULFPORT, FL
    ZIP 33707
  • Facility Phone: 727 381-8006
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLOS A. LABRADOR
  • NPI Number: 1245230796
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2264886
LAB Type Physician Office
Facility Name CARLOS A LABRADOR, MD, PA DBA LABRADOR PRIMARY CARE CENTER
Street 2200 56TH ST S
City GULFPORT
State FL
ZIP 33707
Phone 727 381-8006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director CARLOS A. LABRADOR

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