10D1002941 CLIA NUMBER - ALL KIDS CLINIC

Laboratory Demographics

CLIA Number: 10D1002941

Facility Name: ALL KIDS CLINIC

Facility Address:
1922 W ML KING JR BLVD
TAMPA, FL
ZIP 33607
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Facility Phone Number: 813 849-5437

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306058144

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	10D1002941
LAB Type	Physician Office
Facility Name	ALL KIDS CLINIC
Street	1922 W ML KING JR BLVD
City	TAMPA
State	FL
ZIP	33607
Phone	813 849-5437
CertificateType	4
CertificateEffectiveDate	8/19/2022
CertificateExpirationDate	8/18/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024