10D2275168 CLIA NUMBER - BAYCARE LIFE MANAGEMENT, INC

Laboratory Demographics

  • CLIA Code: 10D2275168
  • Facility Name: BAYCARE LIFE MANAGEMENT, INC
  • Facility Address: 2470 BLOOMINGDALE AVE - STE 220
    VALRICO, FL
    ZIP 33596
  • Facility Phone: 727 315-8664
  • Facility Type: Other - BEHAVIORAL HLTH CLINIC
  • Facility Type: Waiver
  • Lab Director: ADRIANNA PEGUERO
  • NPI Number: 1215403662
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2275168
LAB Type Other - BEHAVIORAL HLTH CLINIC
Facility Name BAYCARE LIFE MANAGEMENT, INC
Street 2470 BLOOMINGDALE AVE - STE 220
City VALRICO
State FL
ZIP 33596
Phone 727 315-8664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Other - BEHAVIORAL HLTH CLINIC
Lab Director ADRIANNA PEGUERO

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