10D0291300 CLIA NUMBER - CANTERBURY TOWER

Laboratory Demographics

  • CLIA Code: 10D0291300
  • Facility Name: CANTERBURY TOWER
  • Facility Address: 3501 BAYSHORE BLVD
    TAMPA, FL
    ZIP 33629
  • Facility Phone: 813 837-1083
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SUSAN P. CONLEY RN
  • NPI Number: 1568546513
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0291300
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CANTERBURY TOWER
Street 3501 BAYSHORE BLVD
City TAMPA
State FL
ZIP 33629
Phone 813 837-1083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SUSAN P. CONLEY RN

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