10D0291124 CLIA NUMBER - STANLEY A ROSENTHAL DO PA

Laboratory Demographics

  • CLIA Code: 10D0291124
  • Facility Name: STANLEY A ROSENTHAL DO PA
  • Facility Address: 13801 BRUCE B DOWNS BLVD STE 301
    TAMPA, FL
    ZIP 33613
  • Facility Phone: 813 615-2313
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONICA SAMS
  • NPI Number: 1184650004
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0291124
LAB Type Physician Office
Facility Name STANLEY A ROSENTHAL DO PA
Street 13801 BRUCE B DOWNS BLVD STE 301
City TAMPA
State FL
ZIP 33613
Phone 813 615-2313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Physician Office
Lab Director MONICA SAMS

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