Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
10D2332078
|
|
Clinical laboratory number
|
|
Lab Name
|
DIVINE DERMATOLOGY PLLC
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Compliance
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
727-528-0321
|
|
Laboratory telephone number
|
|
Fax
|
N/S (NOT SPECIFIED)
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
2191 9TH AVE N SUITE 100
|
|
Primary location adress line
|
|
City
|
SAINT PETERSBURG
|
|
Primary location city name
|
|
State
|
FL
|
|
Primary location state name
|
|
Zip
|
33713
|
|
Primary location postal code
|