10D0896892 CLIA NUMBER - CONCENTRA MEDICAL CENTERS

Laboratory Demographics

  • CLIA Code: 10D0896892
  • Facility Name: CONCENTRA MEDICAL CENTERS
  • Facility Address: 3011 UNIVERSITY CENTER DR STE 100
    TAMPA, FL
    ZIP 33612
  • Facility Phone: 813 980-3151
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PREETH JAYARAM
  • NPI Number: 1598242406
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0896892
LAB Type Physician Office
Facility Name CONCENTRA MEDICAL CENTERS
Street 3011 UNIVERSITY CENTER DR STE 100
City TAMPA
State FL
ZIP 33612
Phone 813 980-3151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director PREETH JAYARAM

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