10D2286964 CLIA NUMBER - INNOVATIVE INFUSIONS LLC

Laboratory Demographics

  • CLIA Code: 10D2286964
  • Facility Name: INNOVATIVE INFUSIONS LLC
  • Facility Address: 2160 GULF TO BAY BLVD
    CLEARWATER, FL
    ZIP 33765
  • Facility Phone: 727 387-3092
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACKI T. REED
  • NPI Number: 1629705975
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2286964
LAB Type Physician Office
Facility Name INNOVATIVE INFUSIONS LLC
Street 2160 GULF TO BAY BLVD
City CLEARWATER
State FL
ZIP 33765
Phone 727 387-3092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director JACKI T. REED

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