10D2315261 CLIA NUMBER - ATLANTIS CLINIC PA

Laboratory Demographics

  • CLIA Code: 10D2315261
  • Facility Name: ATLANTIS CLINIC PA
  • Facility Address: 1500 N MCMULLEN BOOTH RD STE A1
    CLEARWATER, FL
    ZIP 33759
  • Facility Phone: 727 266-1266
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOWARD NELSON CHIPMAN
  • NPI Number: 1194565119
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2315261
LAB Type Physician Office
Facility Name ATLANTIS CLINIC PA
Street 1500 N MCMULLEN BOOTH RD STE A1
City CLEARWATER
State FL
ZIP 33759
Phone 727 266-1266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director HOWARD NELSON CHIPMAN

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