10D1063514 CLIA NUMBER - JOSE R MOLE' MD PA

Laboratory Demographics

  • CLIA Code: 10D1063514
  • Facility Name: JOSE R MOLE' MD PA
  • Facility Address: 2931 W HILLSBOROUGH AVE
    TAMPA, FL
    ZIP 33614
  • Facility Phone: 813 930-0930
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE R. MOLE'
  • NPI Number: 1629092283
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1063514
LAB Type Physician Office
Facility Name JOSE R MOLE' MD PA
Street 2931 W HILLSBOROUGH AVE
City TAMPA
State FL
ZIP 33614
Phone 813 930-0930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Physician Office
Lab Director JOSE R. MOLE'

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