10D1065053 CLIA NUMBER - JOSE IGNACIO LOPEZ MD

Laboratory Demographics

  • CLIA Code: 10D1065053
  • Facility Name: JOSE IGNACIO LOPEZ MD
  • Facility Address: 6101 WEBB ROAD SUITE 209
    TAMPA, FL
    ZIP 33615
  • Facility Phone: 813 890-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE I. LOPEZ MD
  • NPI Number: 1942603667
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1065053
LAB Type Physician Office
Facility Name JOSE IGNACIO LOPEZ MD
Street 6101 WEBB ROAD SUITE 209
City TAMPA
State FL
ZIP 33615
Phone 813 890-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director JOSE I. LOPEZ MD

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