10D1045688 CLIA NUMBER - JOHN COTTAM MD PA

Laboratory Demographics

  • CLIA Code: 10D1045688
  • Facility Name: JOHN COTTAM MD PA
  • Facility Address: 14310 N DALE MABRY STE 180
    TAMPA, FL
    ZIP 33618
  • Facility Phone: 813 962-4210
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JOHN A. COTTAM
  • NPI Number: 1629174941
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D1045688
LAB Type Physician Office
Facility Name JOHN COTTAM MD PA
Street 14310 N DALE MABRY STE 180
City TAMPA
State FL
ZIP 33618
Phone 813 962-4210
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director DR. JOHN A. COTTAM

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