10D1039256 CLIA NUMBER - GUSTAVO SERRANO MD

Laboratory Demographics

CLIA Number: 10D1039256

Facility Name: GUSTAVO SERRANO MD

Facility Address:
5101 N ARMENIA AVE STE A
TAMPA, FL
ZIP 33603
Get Directions

Facility Phone Number: 813 870-6477

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396732442

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	10D1039256
LAB Type	Physician Office
Facility Name	GUSTAVO SERRANO MD
Street	5101 N ARMENIA AVE STE A
City	TAMPA
State	FL
ZIP	33603
Phone	813 870-6477
CertificateType	4
CertificateEffectiveDate	4/11/2023
CertificateExpirationDate	4/10/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024