10D1011161 CLIA NUMBER - LIBERTY I, LLC

Laboratory Demographics

  • CLIA Code: 10D1011161
  • Facility Name: LIBERTY I, LLC
  • Facility Address: 5810 W CYPRESS ST - STE 5810-A
    TAMPA, FL
    ZIP 33607
  • Facility Phone: 813 636-5017
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AMY DANIEL
  • NPI Number: 1588616015
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1011161
LAB Type Home Health Agency
Facility Name LIBERTY I, LLC
Street 5810 W CYPRESS ST - STE 5810-A
City TAMPA
State FL
ZIP 33607
Phone 813 636-5017
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Home Health Agency
Lab Director AMY DANIEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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