10D0290809 CLIA NUMBER - INTERNAL MEDICINE & NEPHROLOGY ASSOC

Laboratory Demographics

  • CLIA Code: 10D0290809
  • Facility Name: INTERNAL MEDICINE & NEPHROLOGY ASSOC
  • Facility Address: 4710 N HABANA AVE #300
    TAMPA, FL
    ZIP 33614
  • Facility Phone: 813 873-1016
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESUS O. NAVARRO
  • NPI Number: 1417944232
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D0290809
LAB Type Physician Office
Facility Name INTERNAL MEDICINE & NEPHROLOGY ASSOC
Street 4710 N HABANA AVE #300
City TAMPA
State FL
ZIP 33614
Phone 813 873-1016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director JESUS O. NAVARRO

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