10D2305820 CLIA NUMBER - OHI WEST MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 10D2305820
  • Facility Name: OHI WEST MEDICAL GROUP LLC
  • Facility Address: 601 7TH ST S STE 405
    SAINT PETERSBURG, FL
    ZIP 33701
  • Facility Phone: 727 893-6370
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEEPAK K. NAIDU
  • NPI Number: 1427671098
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 10D2305820
LAB Type Physician Office
Facility Name OHI WEST MEDICAL GROUP LLC
Street 601 7TH ST S STE 405
City SAINT PETERSBURG
State FL
ZIP 33701
Phone 727 893-6370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Physician Office
Lab Director DEEPAK K. NAIDU

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