10D1042240 CLIA NUMBER - HERNANDO PASCO PRIMARY CARE, LLC DBA MYCARE MEDICAL

Laboratory Demographics

  • CLIA Code: 10D1042240
  • Facility Name: HERNANDO PASCO PRIMARY CARE, LLC DBA MYCARE MEDICAL
  • Facility Address: 18928 N DALE MABRY HWY - STE 101
    LUTZ, FL
    ZIP 33548
  • Facility Phone: 813 909-1146
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRITESH N. PATEL
  • NPI Number: 1760680870
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1042240
LAB Type Physician Office
Facility Name HERNANDO PASCO PRIMARY CARE, LLC DBA MYCARE MEDICAL
Street 18928 N DALE MABRY HWY - STE 101
City LUTZ
State FL
ZIP 33548
Phone 813 909-1146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director PRITESH N. PATEL

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