10D0976185 CLIA NUMBER - IVAN F ACKERMAN MD PA

Laboratory Demographics

  • CLIA Code: 10D0976185
  • Facility Name: IVAN F ACKERMAN MD PA
  • Facility Address: 402 NOLAND DRIVE
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 655-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IVAN F. ACKERMAN
  • NPI Number: 1609836089
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0976185
LAB Type Physician Office
Facility Name IVAN F ACKERMAN MD PA
Street 402 NOLAND DRIVE
City BRANDON
State FL
ZIP 33511
Phone 813 655-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director IVAN F. ACKERMAN

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