10D0677184 CLIA NUMBER - FLORIDA DEPARTMENT OF HEALTH DBA HILLSBOROUGH COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 10D0677184

Facility Name: FLORIDA DEPARTMENT OF HEALTH DBA HILLSBOROUGH COUNTY HEALTH DEPARTMENT

Facility Address:
1105 E KENNEDY BLVD
TAMPA, FL
ZIP 33602
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Facility Phone Number: 813 559-4338

Facility Type: Public Health Laboratories

Certificate Type: Waiver

NPI Number: 1366805038

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0677184
LAB Type	Public Health Laboratories
Facility Name	FLORIDA DEPARTMENT OF HEALTH DBA HILLSBOROUGH COUNTY HEALTH DEPARTMENT
Street	1105 E KENNEDY BLVD
City	TAMPA
State	FL
ZIP	33602
Phone	813 559-4338
CertificateType	4
CertificateEffectiveDate	12/7/2022
CertificateExpirationDate	12/6/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024