10D1077664 CLIA NUMBER - TOWER IMAGING LLC TOWER RADIOLOGY CENTER HABANA

Laboratory Demographics

  • CLIA Code: 10D1077664
  • Facility Name: TOWER IMAGING LLC TOWER RADIOLOGY CENTER HABANA
  • Facility Address: 4719 N HABANA AVE
    TAMPA, FL
    ZIP 33614
  • Facility Phone: 813 477-3873
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ERIN LEARY
  • NPI Number: 1396707063
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D1077664
LAB Type Other
Facility Name TOWER IMAGING LLC TOWER RADIOLOGY CENTER HABANA
Street 4719 N HABANA AVE
City TAMPA
State FL
ZIP 33614
Phone 813 477-3873
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Other
Lab Director ERIN LEARY

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