10D1032801 CLIA NUMBER - FLORIDA UROLOGY PARTNERS LLP

Laboratory Demographics

  • CLIA Code: 10D1032801
  • Facility Name: FLORIDA UROLOGY PARTNERS LLP
  • Facility Address: 1 DAVIS BLVD SUITE 604
    TAMPA, FL
    ZIP 33606
  • Facility Phone: 813 356-0196
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MALCOLM ROOT
  • NPI Number: 1447401955
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D1032801
LAB Type Physician Office
Facility Name FLORIDA UROLOGY PARTNERS LLP
Street 1 DAVIS BLVD SUITE 604
City TAMPA
State FL
ZIP 33606
Phone 813 356-0196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Physician Office
Lab Director MALCOLM ROOT

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