10D0882135 CLIA NUMBER - HERNANDO PASCO PRIMARY CARE, LLC DBA MYCARE MEDICAL

Laboratory Demographics

  • CLIA Code: 10D0882135
  • Facility Name: HERNANDO PASCO PRIMARY CARE, LLC DBA MYCARE MEDICAL
  • Facility Address: 13305 NORTH 56TH STREET
    TAMPA, FL
    ZIP 33617
  • Facility Phone: 813 988-1101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODGER ROTHENBERGER
  • NPI Number: 1417313149
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D0882135
LAB Type Physician Office
Facility Name HERNANDO PASCO PRIMARY CARE, LLC DBA MYCARE MEDICAL
Street 13305 NORTH 56TH STREET
City TAMPA
State FL
ZIP 33617
Phone 813 988-1101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director RODGER ROTHENBERGER

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