10D1029685 CLIA NUMBER - TAMPA FL ENDOSCOPY ASC, LLC DBA TAMPA BAY ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 10D1029685
  • Facility Name: TAMPA FL ENDOSCOPY ASC, LLC DBA TAMPA BAY ENDOSCOPY CENTER
  • Facility Address: 4809 N ARMENIA STE 100
    TAMPA, FL
    ZIP 33603
  • Facility Phone: 813 872-9310
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LEOPOLDO GRAUER
  • NPI Number: 1972577161
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1029685
LAB Type Ambulatory Surgery Center
Facility Name TAMPA FL ENDOSCOPY ASC, LLC DBA TAMPA BAY ENDOSCOPY CENTER
Street 4809 N ARMENIA STE 100
City TAMPA
State FL
ZIP 33603
Phone 813 872-9310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Ambulatory Surgery Center
Lab Director LEOPOLDO GRAUER

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