10D2215668 CLIA NUMBER - BAY LIFE PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2215668
  • Facility Name: BAY LIFE PHARMACY
  • Facility Address: 1235 S MISSOURI AVE
    CLEARWATER, FL
    ZIP 33756
  • Facility Phone: 727 581-5400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIAN MATHEW
  • NPI Number: 1407044035
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2215668
LAB Type Pharmacy
Facility Name BAY LIFE PHARMACY
Street 1235 S MISSOURI AVE
City CLEARWATER
State FL
ZIP 33756
Phone 727 581-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director JULIAN MATHEW

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This page was last updated on: 3/20/2025