10D0696510 CLIA NUMBER - MAXHEALTH

Laboratory Demographics

  • CLIA Code: 10D0696510
  • Facility Name: MAXHEALTH
  • Facility Address: 14003 N DALE MABRY HWY - #A
    TAMPA, FL
    ZIP 33618
  • Facility Phone: 813 961-9174
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJANKUMAR NAIK
  • NPI Number: 1942875760
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0696510
LAB Type Physician Office
Facility Name MAXHEALTH
Street 14003 N DALE MABRY HWY - #A
City TAMPA
State FL
ZIP 33618
Phone 813 961-9174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Physician Office
Lab Director RAJANKUMAR NAIK

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