10D2298157 CLIA NUMBER - APOLLO MEDICAL GROUP PA

Laboratory Demographics

  • CLIA Code: 10D2298157
  • Facility Name: APOLLO MEDICAL GROUP PA
  • Facility Address: 3535 LITTLE RD
    TRINITY, FL
    ZIP 34655
  • Facility Phone: 727 375-0848
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAYADEVA CHOWDAPPA
  • NPI Number: 1619167111
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2298157
LAB Type Physician Office
Facility Name APOLLO MEDICAL GROUP PA
Street 3535 LITTLE RD
City TRINITY
State FL
ZIP 34655
Phone 727 375-0848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director JAYADEVA CHOWDAPPA

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