10D1077666 CLIA NUMBER - TOWER IMAGING LLC TOWER RADIOLOGY CENTER CARROLLWOOD

Laboratory Demographics

  • CLIA Code: 10D1077666
  • Facility Name: TOWER IMAGING LLC TOWER RADIOLOGY CENTER CARROLLWOOD
  • Facility Address: 14499 N DALE MABRY STE 150
    TAMPA, FL
    ZIP 33618
  • Facility Phone: 813 477-3873
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DENISE FONTES
  • NPI Number: 1851353528
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 10D1077666
LAB Type Other
Facility Name TOWER IMAGING LLC TOWER RADIOLOGY CENTER CARROLLWOOD
Street 14499 N DALE MABRY STE 150
City TAMPA
State FL
ZIP 33618
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 DENISE FONTES

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