10D1028014 CLIA NUMBER - TARA CONNOR DO PA

Laboratory Demographics

  • CLIA Code: 10D1028014
  • Facility Name: TARA CONNOR DO PA
  • Facility Address: 2401 FOREST DR
    INVERNESS, FL
    ZIP 34453
  • Facility Phone: 352 344-3777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TARA M. CONNOR
  • NPI Number: 1417998915
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1028014
LAB Type Physician Office
Facility Name TARA CONNOR DO PA
Street 2401 FOREST DR
City INVERNESS
State FL
ZIP 34453
Phone 352 344-3777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Physician Office
Lab Director TARA M. CONNOR

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