10D1049124 CLIA NUMBER - NIGHT OWL PEDIATRICS URGENT CARE

Laboratory Demographics

  • CLIA Code: 10D1049124
  • Facility Name: NIGHT OWL PEDIATRICS URGENT CARE
  • Facility Address: 10359 CROSSCREEK BLVD STE CD
    TAMPA, FL
    ZIP 33647
  • Facility Phone: 813 994-0044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMIR DOUIDAR MD
  • NPI Number: 1790973394
  • Taxonomy: 2080P0204X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1049124
LAB Type Physician Office
Facility Name NIGHT OWL PEDIATRICS URGENT CARE
Street 10359 CROSSCREEK BLVD STE CD
City TAMPA
State FL
ZIP 33647
Phone 813 994-0044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Physician Office
Lab Director SAMIR DOUIDAR MD

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