10D1032176 CLIA NUMBER - PHYSICAL MEDICINE CENTER

Laboratory Demographics

  • CLIA Code: 10D1032176
  • Facility Name: PHYSICAL MEDICINE CENTER
  • Facility Address: 14522 UNIVERSITY POINT PL
    TAMPA, FL
    ZIP 33613
  • Facility Phone: 813 978-0020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT C. LUPO MD
  • NPI Number: 1902810963
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1032176
LAB Type Physician Office
Facility Name PHYSICAL MEDICINE CENTER
Street 14522 UNIVERSITY POINT PL
City TAMPA
State FL
ZIP 33613
Phone 813 978-0020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Physician Office
Lab Director ROBERT C. LUPO MD

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