10D0884287 CLIA NUMBER - MANGESH B PATEL MD

Laboratory Demographics

  • CLIA Code: 10D0884287
  • Facility Name: MANGESH B PATEL MD
  • Facility Address: 1030 S 78TH ST
    TAMPA, FL
    ZIP 33619
  • Facility Phone: 813 740-0646
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANGESH B. PATEL
  • NPI Number: 1194781443
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0884287
LAB Type Physician Office
Facility Name MANGESH B PATEL MD
Street 1030 S 78TH ST
City TAMPA
State FL
ZIP 33619
Phone 813 740-0646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director MANGESH B. PATEL

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