10D0290270 CLIA NUMBER - APS GYNECOLOGY PA

Laboratory Demographics

  • CLIA Code: 10D0290270
  • Facility Name: APS GYNECOLOGY PA
  • Facility Address: 4302 N HABANA AVE STE 300
    TAMPA, FL
    ZIP 33607
  • Facility Phone: 813 870-3890
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLIFFORD L. THACKER
  • NPI Number: 1568456820
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D0290270
LAB Type Physician Office
Facility Name APS GYNECOLOGY PA
Street 4302 N HABANA AVE STE 300
City TAMPA
State FL
ZIP 33607
Phone 813 870-3890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director CLIFFORD L. THACKER

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