10D1002941 CLIA NUMBER - ALL KIDS CLINIC, INC

Laboratory Demographics

  • CLIA Code: 10D1002941
  • Facility Name: ALL KIDS CLINIC, INC
  • Facility Address: 1922 W ML KING JR BLVD
    TAMPA, FL
    ZIP 33607
  • Facility Phone: 813 849-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AGUSTIN A. MARTIN
  • NPI Number: 1306058144
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1002941
LAB Type Physician Office
Facility Name ALL KIDS CLINIC, INC
Street 1922 W ML KING JR BLVD
City TAMPA
State FL
ZIP 33607
Phone 813 849-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Physician Office
Lab Director AGUSTIN A. MARTIN

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