10D0987530 CLIA NUMBER - ATLANTIS CLINIC

Laboratory Demographics

  • CLIA Code: 10D0987530
  • Facility Name: ATLANTIS CLINIC
  • Facility Address: 3705 TAMPA RD #22
    OLDSMAR, FL
    ZIP 34677
  • Facility Phone: 813 891-6343
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOWARD N. CHIPMAN
  • NPI Number: 1417957325
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D0987530
LAB Type Physician Office
Facility Name ATLANTIS CLINIC
Street 3705 TAMPA RD #22
City OLDSMAR
State FL
ZIP 34677
Phone 813 891-6343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director HOWARD N. CHIPMAN

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