10D0971105 CLIA NUMBER - BRANDON AREA PRIMARY CARE PA BRANDON OFFICE

Laboratory Demographics

  • CLIA Code: 10D0971105
  • Facility Name: BRANDON AREA PRIMARY CARE PA BRANDON OFFICE
  • Facility Address: 500 VONDERBURG DR STE 311W
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 654-2445
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN D. PARKS MD
  • NPI Number: 1326143397
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0971105
LAB Type Physician Office
Facility Name BRANDON AREA PRIMARY CARE PA BRANDON OFFICE
Street 500 VONDERBURG DR STE 311W
City BRANDON
State FL
ZIP 33511
Phone 813 654-2445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Physician Office
Lab Director STEPHEN D. PARKS MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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