10D0973468 CLIA NUMBER - HERNANDO PASCO PRIMARY CARE LLC DBA MYCARE MEDICAL

Laboratory Demographics

  • CLIA Code: 10D0973468
  • Facility Name: HERNANDO PASCO PRIMARY CARE LLC DBA MYCARE MEDICAL
  • Facility Address: 9037 BISCAYNE BLVD
    MIAMI SHORES, FL
    ZIP 33138
  • Facility Phone: 813 536-7277
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDMUNDO R. TAMAYO
  • NPI Number: 1720768450
  • Taxonomy: 1835P0018X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 10D0973468
LAB Type Physician Office
Facility Name HERNANDO PASCO PRIMARY CARE LLC DBA MYCARE MEDICAL
Street 9037 BISCAYNE BLVD
City MIAMI SHORES
State FL
ZIP 33138
Phone 813 536-7277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Physician Office
Lab Director EDMUNDO R. TAMAYO

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