10D1038294 CLIA NUMBER - RONALD L BARBOUR, PA

Laboratory Demographics

  • CLIA Code: 10D1038294
  • Facility Name: RONALD L BARBOUR, PA
  • Facility Address: 341 BULLARD PKWY STE A & B
    TEMPLE TERRACE, FL
    ZIP 33617
  • Facility Phone: 813 466-5535
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD L. BARBOUR
  • NPI Number: 1760503965
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 10D1038294
LAB Type Physician Office
Facility Name RONALD L BARBOUR, PA
Street 341 BULLARD PKWY STE A & B
City TEMPLE TERRACE
State FL
ZIP 33617
Phone 813 466-5535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Physician Office
Lab Director RONALD L. BARBOUR

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