10D1021155 CLIA NUMBER - IDEL PHARMACY INC

Laboratory Demographics

  • CLIA Code: 10D1021155
  • Facility Name: IDEL PHARMACY INC
  • Facility Address: 3314 W COLUMBUS DR
    TAMPA, FL
    ZIP 33607
  • Facility Phone: 813 877-6679
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ILLAN SUAREZ JR
  • NPI Number: 1851316731
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D1021155
LAB Type Pharmacy
Facility Name IDEL PHARMACY INC
Street 3314 W COLUMBUS DR
City TAMPA
State FL
ZIP 33607
Phone 813 877-6679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Pharmacy
Lab Director ILLAN SUAREZ JR

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