10D2277803 CLIA NUMBER - BAY AREA ADVANCE GASTROENTEROLOGY CARE INC

Laboratory Demographics

CLIA Number: 10D2277803

Facility Name: BAY AREA ADVANCE GASTROENTEROLOGY CARE INC

Facility Address:
1130 KYLE WOOD LANE
BRANDON, FL
ZIP 33511
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Facility Phone Number: 813 600-5423

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1790055457

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D2277803
LAB Type	Physician Office
Facility Name	BAY AREA ADVANCE GASTROENTEROLOGY CARE INC
Street	1130 KYLE WOOD LANE
City	BRANDON
State	FL
ZIP	33511
Phone	813 600-5423
CertificateType	2
CertificateEffectiveDate	2/16/2024
CertificateExpirationDate	2/15/2026
FacilityType	Compliance

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This page was last updated on: 4/23/2024