10D0715000 CLIA NUMBER - MEDCENTRAL CORPORATION D/B/A CAUSEWAY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 10D0715000
  • Facility Name: MEDCENTRAL CORPORATION D/B/A CAUSEWAY MEDICAL CLINIC
  • Facility Address: 7108 CAUSEWAY BLVD
    TAMPA, FL
    ZIP 33619
  • Facility Phone: 813 628-4400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DENCY RIVAS
  • NPI Number: 1447461355
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0715000
LAB Type Physician Office
Facility Name MEDCENTRAL CORPORATION D/B/A CAUSEWAY MEDICAL CLINIC
Street 7108 CAUSEWAY BLVD
City TAMPA
State FL
ZIP 33619
Phone 813 628-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director DR. DENCY RIVAS

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