10D1018855 CLIA NUMBER - TGMG 11175 COUNTY LINE RD

Laboratory Demographics

  • CLIA Code: 10D1018855
  • Facility Name: TGMG 11175 COUNTY LINE RD
  • Facility Address: 11175 COUNTY LINE RD
    SPRING HILL, FL
    ZIP 34609
  • Facility Phone: 813 394-1102
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. AMAL O. AWWAD
  • NPI Number: 1659557866
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D1018855
LAB Type Physician Office
Facility Name TGMG 11175 COUNTY LINE RD
Street 11175 COUNTY LINE RD
City SPRING HILL
State FL
ZIP 34609
Phone 813 394-1102
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Physician Office
Lab Director DR. AMAL O. AWWAD

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