10D2318153 CLIA NUMBER - ATLANTIS CLINIC PA

Laboratory Demographics

  • CLIA Code: 10D2318153
  • Facility Name: ATLANTIS CLINIC PA
  • Facility Address: 1530 4TH ST N
    SAINT PETERSBURG, FL
    ZIP 33704
  • Facility Phone: 727 821-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOWARD NELSON CHIPMAN
  • NPI Number: 1033959051
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D2318153
LAB Type Physician Office
Facility Name ATLANTIS CLINIC PA
Street 1530 4TH ST N
City SAINT PETERSBURG
State FL
ZIP 33704
Phone 727 821-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Physician Office
Lab Director HOWARD NELSON CHIPMAN

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