10D0931979 CLIA NUMBER - CENTER FOR DIABETES AND METABOLIC DISORDERS

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Laboratory Demographics

CLIA Number: 10D0931979

Facility Name: CENTER FOR DIABETES AND METABOLIC DISORDERS

Facility Address:
502 CORNER DR
BRANDON, FL
ZIP 33511
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Facility Phone Number: 813 643-4722

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1124336177

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D0931979
LAB Type	Physician Office
Facility Name	CENTER FOR DIABETES AND METABOLIC DISORDERS
Street	502 CORNER DR
City	BRANDON
State	FL
ZIP	33511
Phone	813 643-4722
CertificateType	4
CertificateEffectiveDate	8/8/2023
CertificateExpirationDate	8/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024