10D2301346 CLIA NUMBER - CLEARWATER FAMILY MEDICINE AND ALLERGY PA

Laboratory Demographics

CLIA Number: 10D2301346

Facility Name: CLEARWATER FAMILY MEDICINE AND ALLERGY PA

Facility Address:
2445 TAMPA RD - STE C
PALM HARBOR, FL
ZIP 34683
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Facility Phone Number: 727 446-1097

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316255128

Taxonomy: 207K00000X - Allergy & Immunology
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

CLIA Record

Field Name	Field Value
CLIA Number	10D2301346
LAB Type	Physician Office
Facility Name	CLEARWATER FAMILY MEDICINE AND ALLERGY PA
Street	2445 TAMPA RD - STE C
City	PALM HARBOR
State	FL
ZIP	34683
Phone	727 446-1097
CertificateType	4
CertificateEffectiveDate	3/25/2024
CertificateExpirationDate	3/24/2026
FacilityType	Waiver

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