10D1013532 CLIA NUMBER - FLORIDA MEDICAL CLINIC PA/GI MALDONADO

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CLIA Record

Field Name Field Value
CLIA Number 10D1013532
LAB Type Physician Office
Facility Name FLORIDA MEDICAL CLINIC PA/GI MALDONADO
Street 14547 BRUCE B DOWNS BLVD
City TAMPA
State FL
ZIP 33613
Phone 813 788-4378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Physician Office
Lab Director MARTIN E. MALDONADO

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