10D2291279 CLIA NUMBER - COMMUNITY HOSPITAL FAMILY PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 10D2291279
  • Facility Name: COMMUNITY HOSPITAL FAMILY PRACTICE, LLC
  • Facility Address: 13740 OFFICE PARK COURT, SUITE B
    HUDSON, FL
    ZIP 34667
  • Facility Phone: 727 619-0900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAIVAL THAKORE
  • NPI Number: 1215338751
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2291279
LAB Type Physician Office
Facility Name COMMUNITY HOSPITAL FAMILY PRACTICE, LLC
Street 13740 OFFICE PARK COURT, SUITE B
City HUDSON
State FL
ZIP 34667
Phone 727 619-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Physician Office
Lab Director SHAIVAL THAKORE

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