10D2275712 CLIA NUMBER - GULF COAST FAMILY WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 10D2275712
  • Facility Name: GULF COAST FAMILY WELLNESS, LLC
  • Facility Address: 7855 38TH AVE N - STE 200
    SAINT PETERSBURG, FL
    ZIP 33710
  • Facility Phone: 727 490-7729
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA TONKIN
  • NPI Number: 1023126463
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D2275712
LAB Type Physician Office
Facility Name GULF COAST FAMILY WELLNESS, LLC
Street 7855 38TH AVE N - STE 200
City SAINT PETERSBURG
State FL
ZIP 33710
Phone 727 490-7729
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director JESSICA TONKIN

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