10D1001792 CLIA NUMBER - JOSE R PRIETO MD PA

Laboratory Demographics

  • CLIA Code: 10D1001792
  • Facility Name: JOSE R PRIETO MD PA
  • Facility Address: 214 MORRISON RD, STE 104
    BRANDON, FL
    ZIP 33511
  • Facility Phone: (813) 681-6474
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE R. PREITO
  • NPI Number: 1093748428
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1001792
LAB Type Physician Office
Facility Name JOSE R PRIETO MD PA
Street 214 MORRISON RD, STE 104
City BRANDON
State FL
ZIP 33511
Phone 8136816474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director JOSE R. PREITO

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This page was last updated on: 5/18/2026