10D0930369 CLIA NUMBER - LANDMARK PRIMARY CARE PA

Laboratory Demographics

  • CLIA Code: 10D0930369
  • Facility Name: LANDMARK PRIMARY CARE PA
  • Facility Address: 2221 N HIMES AVE , STE C
    TAMPA, FL
    ZIP 33607
  • Facility Phone: (813) 354-9485
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY T. DUANY
  • NPI Number: 1447218250
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0930369
LAB Type Physician Office
Facility Name LANDMARK PRIMARY CARE PA
Street 2221 N HIMES AVE , STE C
City TAMPA
State FL
ZIP 33607
Phone 8133549485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director ANTHONY T. DUANY

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This page was last updated on: 5/18/2026