10D1064040 CLIA NUMBER - ANGEL E TAFUR MD PA

Laboratory Demographics

  • CLIA Code: 10D1064040
  • Facility Name: ANGEL E TAFUR MD PA
  • Facility Address: 1503 BUENOS ARIES BLVD #160
    THE VILLAGES, FL
    ZIP 32159
  • Facility Phone: 352 347-0363
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMMITT MICHAEL THOMPSON
  • NPI Number: 1801892401
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1064040
LAB Type Physician Office
Facility Name ANGEL E TAFUR MD PA
Street 1503 BUENOS ARIES BLVD #160
City THE VILLAGES
State FL
ZIP 32159
Phone 352 347-0363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director EMMITT MICHAEL THOMPSON

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