10D1041869 CLIA NUMBER - ANDREW D HENRY, MD, LLC

Laboratory Demographics

  • CLIA Code: 10D1041869
  • Facility Name: ANDREW D HENRY, MD, LLC
  • Facility Address: 9260 BAY PLAZA BLVD - STE 502
    TAMPA, FL
    ZIP 33619
  • Facility Phone: 813 676-0234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW D. HENRY
  • NPI Number: 1194892141
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1041869
LAB Type Physician Office
Facility Name ANDREW D HENRY, MD, LLC
Street 9260 BAY PLAZA BLVD - STE 502
City TAMPA
State FL
ZIP 33619
Phone 813 676-0234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director ANDREW D. HENRY

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This page was last updated on: 6/4/2025