10D2316703 CLIA NUMBER - STACY EDWARDS, INC

Laboratory Demographics

  • CLIA Code: 10D2316703
  • Facility Name: STACY EDWARDS, INC
  • Facility Address: 2623 MCCORMICK DR - STE 101
    CLEARWATER, FL
    ZIP 33759
  • Facility Phone: (727) 564-9336
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STACY L. EDWARDS
  • NPI Number: 1700812690
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2316703
LAB Type Physician Office
Facility Name STACY EDWARDS, INC
Street 2623 MCCORMICK DR - STE 101
City CLEARWATER
State FL
ZIP 33759
Phone 7275649336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director STACY L. EDWARDS

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This page was last updated on: 5/18/2026