10D1005558 CLIA NUMBER - TAMPA BAY NEPHROLOGY ASSOCIATES

Laboratory Demographics

CLIA Number: 10D1005558

Facility Name: TAMPA BAY NEPHROLOGY ASSOCIATES

Facility Address:
4912 N ARMENIA AVE
TAMPA, FL
ZIP 33603
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Facility Phone Number: 813 353-8775

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306957899

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	10D1005558
LAB Type	Physician Office
Facility Name	TAMPA BAY NEPHROLOGY ASSOCIATES
Street	4912 N ARMENIA AVE
City	TAMPA
State	FL
ZIP	33603
Phone	813 353-8775
CertificateType	4
CertificateEffectiveDate	10/24/2022
CertificateExpirationDate	10/23/2024
FacilityType	Waiver

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