10D0291323 CLIA NUMBER - TAMPA INTERNIST PA

Laboratory Demographics

  • CLIA Code: 10D0291323
  • Facility Name: TAMPA INTERNIST PA
  • Facility Address: 4543 S MANHATTAN AVE SUITE 103
    TAMPA, FL
    ZIP 33611
  • Facility Phone: 813 831-8888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIMESH N. PANCHIGAR
  • NPI Number: 1497866560
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0291323
LAB Type Physician Office
Facility Name TAMPA INTERNIST PA
Street 4543 S MANHATTAN AVE SUITE 103
City TAMPA
State FL
ZIP 33611
Phone 813 831-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Physician Office
Lab Director NIMESH N. PANCHIGAR

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